Simpson, Timothy Benner
Simpson, Timothy Benner is an individual health care provider with primary practice located at 60 Merrimack St , Haverhill MA 01830-6207. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Simpson, Timothy Benner can be contacted via phone (978) 373-1126.Contact Information
Primary practice address
60 Merrimack St
Haverhill MA 01830-6207
Phone: (978) 373-1126
Fax: (978) 373-6363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3405 | Massachusetts |
Profile Details
| NPI number | 1619017076 |
|---|---|
| LBN Legal business name | Simpson, Timothy Benner |
| Credentials | M.ED.,LCMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619017076 | NPPES |
| Massachusetts | MEDICAID | 1312294 |
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