Timothy Eugene Spruill in Orlando - Psychologist

Timothy Eugene Spruill - NPI 1003967316

Timothy Eugene Spruill is a Psychologist in Orlando, Florida. Timothy Eugene Spruill practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Timothy Eugene Spruill is 1003967316. The last update date is 2013-02-25.

Timothy Eugene Spruill's current location address is 12825 Waterhaven Cir, Orlando, Florida. You can contact this provider via phone number 4077609026 and fax number 4073038659. The mailing address for Timothy Eugene Spruill is 12825 Waterhaven Cir, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Timothy Eugene Spruill
Address 12825 Waterhaven Cir, Orlando, Florida
Phone Number 4077609026
Fax Number 4073038659
Sole Proprietor Y
Credentials ED.D.

NPI Number Detail

NPI Number 1003967316
Provider Enumeration Date 2007-01-15
Last Updated Date 2013-02-25

Provider Mailing Address Detail

Address 12825 Waterhaven Cir
City Orlando
State Florida (FL)
Post Code 328288637
Phone Number 4077609026
Fax Number 4073038659

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY6263
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

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FAQs about Timothy Eugene Spruill

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

The Timothy Eugene Spruill has been assigned the NPI (National Provider Identifier) 1003967316 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Timothy Eugene Spruill's facilities are geographically located?

The facilities of Timothy Eugene Spruill are physically situated at the following location: 12825 Waterhaven Cir, Orlando, FL, 328288637.

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

The area of specialization for Timothy Eugene Spruill is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

On what date was the 1003967316 assigned to Timothy Eugene Spruill?

The Timothy Eugene Spruill was issued its 1003967316 on 2007-01-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Timothy Eugene Spruill's details last updated?

The information pertaining to the Timothy Eugene Spruill, including its address, specialty, and other details, was most recently updated on 2013-02-25.

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