| Doctor Name: | TIMOTHY VANRHEENEN |
| NPI Number: | 1033368469 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2018 Rock Spring Rd Suite A6 Forest Hill, MD - 210502631 |
| Business Phone Number: | 4108382493 |
| Business Fax Number: | |
| Mailing Address: | 2018 Rock Spring Rd, Suite A6 FOREST HILL |
| State: | MD |
| Postal Code: | 210502631 |
| Phone Number: | 4108382493 |
| Fax Number: | |
| NPI Enumeration Date: | 09/10/2008 |
| NPI Last Update Date: | 07/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |