Timothy Alan Ingram in Dallas - Clinical
Timothy Alan Ingram - NPI 1205083565
Timothy Alan Ingram is a Clinical in Dallas, Texas. Timothy Alan Ingram practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy Alan Ingram is 1205083565. The last update date is 2016-09-22.
Timothy Alan Ingram's current location address is 1380 River Bend Dr, Dallas, Texas. You can contact this provider via phone number 2147431272 and fax number 2146303625. The mailing address for Timothy Alan Ingram is 1380 River Bend Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Alan Ingram |
|---|---|
| Address | 1380 River Bend Dr, Dallas, Texas |
| Phone Number | 2147431272 |
| Fax Number | 2146303625 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1205083565 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2016-09-22 |
Provider Mailing Address Detail
| Address | 1380 River Bend Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752474914 |
| Phone Number | 2147431272 |
| Fax Number | 2146303625 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 24513 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P000K75HG | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Timothy Alan Ingram?
The Timothy Alan Ingram has been issued the NPI (National Provider Identifier) 1205083565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Timothy Alan Ingram?
The Timothy Alan Ingram is situated at 1380 River Bend Dr, in the city of Dallas, state of TX, with the zip code 752474914.
What is Timothy Alan Ingram's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Timothy Alan Ingram's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Timothy Alan Ingram receive the assignment of its 1205083565 from the Centers for Medicare & Medicaid Services?
The Timothy Alan Ingram was issued its 1205083565 by the Centers for Medicare & Medicaid Services on 2008-08-19.
As of what date were the details pertaining to Timothy Alan Ingram last refreshed?
The information related to the Timothy Alan Ingram, including its address, specialty, and other relevant details, was last updated on 2016-09-22.
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