Timothy C Short in Melbourne - Group Psychotherapy

Timothy C Short - NPI 1891708335

Timothy C Short is a Group Psychotherapy in Melbourne, Florida. Timothy C Short practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Timothy C Short is 1891708335. The last update date is 2008-09-09.

Timothy C Short's current location address is 1611 S Apollo Blvd, Melbourne, Florida. You can contact this provider via phone number 3217242444 and fax number 3219524131. The mailing address for Timothy C Short is 1611 S Apollo Blvd, Melbourne, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy C Short
Address 1611 S Apollo Blvd, Melbourne, Florida
Phone Number 3217242444
Fax Number 3219524131
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1891708335
Provider Enumeration Date 2006-08-14
Last Updated Date 2008-09-09

Provider Mailing Address Detail

Address 1611 S Apollo Blvd
City Melbourne
State Florida (FL)
Post Code 329014407
Phone Number 3217242444
Fax Number 3219524131

Provider's Primary Taxonomy Detail

Speciality Group Psychotherapy
Taxonomy 103Tp2701X
Licence No PY4790
Definition:
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso

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FAQs about Timothy C Short

What is the unique 10-digit identification code issued to Timothy C Short by the Centers for Medicare & Medicaid Services?

The Timothy C Short has been assigned the NPI (National Provider Identifier) 1891708335 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Timothy C Short is geographically located?

The Timothy C Short is physically situated at the following location: 1611 S Apollo Blvd, Melbourne, FL, 329014407.

What is Timothy C Short's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Timothy C Short is Group Psychotherapy, and the taxonomy code that classifies this field of practice is 103Tp2701X.

When was the Timothy C Short's 1891708335 issued?

The Timothy C Short's 1891708335 was issued on 2006-08-14.

As of what date was the information regarding Timothy C Short, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Timothy C Short, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-09-09.

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