Timothy M Tavis PH D

NPI 1922184316 - Psychologist - 103T00000X

NPI Details
NPI 1922184316
Gender Male
Enumeration Date 10/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1900 S OLIVE AVE
WEST PALM BEACH FL, 33401-7726, US
Phone (561) 882-4008
Fax (561) 881-4432
Business Location
1281 E BLUE HERON BLVD # 162
RIVIERA BEACH FL, 33404-4739, US
Phone (561) 882-4008
Fax (561) 881-4432
Toxanomy
Taxonomy Code 103T00000X
License State Florida
License Number PY 6213
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According to our database, Timothy M Tavis PH D NPI is 1922184316, taxonomy code is 103T00000X and license number is PY 6213, license state is located at Florida. Timothy M Tavis PH D physically located at 1900 S Olive Ave, West Palm Beach FL, 33401-7726. NPI Number Timothy M Tavis PH D has the Individual type.

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1922184316 NPI number is provided on an as is basis without warranty of any kind. 1922184316 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy M Tavis PH D are for informational purposes only.