Tennyson, Timothy

Tennyson, Timothy is an sole proprietor health care provider with primary practice located at 3140 Red Hill Ave Ste 130 , Costa Mesa CA 92626-3400. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Tennyson, Timothy can be contacted via phone (949) 307-3600.

Contact Information

Primary practice address
3140 Red Hill Ave Ste 130 Costa Mesa CA 92626-3400
Phone: (949) 307-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY10217 California
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PSY10217 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY10217 California
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY10217 California

Profile Details

NPI number 1407290752
LBN Legal business name Tennyson, Timothy
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2013
Last updated Apr 17th, 2013 - about 11 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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