Short, Timothy C

Short, Timothy C is an sole proprietor health care provider with primary practice located at 1611 S Apollo Blvd , Melbourne FL 32901-4407. He recently has only one registered license in Behavioral Health & Social Service Providers / Group Psychotherapy, which is considered as his primary health care specialty. Short, Timothy C can be contacted via phone (321) 724-2444.

Contact Information

Primary practice address
1611 S Apollo Blvd Melbourne FL 32901-4407
Phone: (321) 724-2444
Fax: (321) 952-4131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PY4790 Florida

Profile Details

NPI number 1891708335
LBN Legal business name Short, Timothy C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Sep 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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