| Doctor Name: | TIMOTHY F. DWYER |
| NPI Number: | 1225175540 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 2051 |
| Business Practice Address: | 618 Library Place Evanston, IL - 60201 |
| Business Phone Number: | 8477334300 |
| Business Fax Number: | 8477330390 |
| Mailing Address: | 1057 Linden Avenue, WILMETTE |
| State: | IL |
| Postal Code: | 600912727 |
| Phone Number: | 5042320316 |
| Fax Number: | |
| NPI Enumeration Date: | 01/30/2007 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2051 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |