| Doctor Name: | MR. BARRY SCOTT TIMMERMAN |
| NPI Number: | 1134346463 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA, LCMHC,MLADC |
| License Number: | 0282 |
| Business Practice Address: | 867 Lafayette Rd Seabrook, NH - 038744217 |
| Business Phone Number: | 6034743332 |
| Business Fax Number: | 6033720822 |
| Mailing Address: | 867 Lafayette Rd, SEABROOK |
| State: | NH |
| Postal Code: | 038744217 |
| Phone Number: | 6034743332 |
| Fax Number: | 6033720822 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 06/14/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0282 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |