Timberlake, Terri Lynn

Timberlake, Terri Lynn is an individual health care provider with primary practice located at 13435 Springfield Blvd , Springfield Gardens NY 11413-1448. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Timberlake, Terri Lynn can be contacted via phone (718) 977-8022.

Contact Information

Primary practice address
13435 Springfield Blvd Springfield Gardens NY 11413-1448
Phone: (718) 977-8022
Fax: (718) 883-6669
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 017327 New York

Profile Details

NPI number 1831375252
LBN Legal business name Timberlake, Terri Lynn
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831375252 NPPES
New York MEDICAID 02920212

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