| Doctor Name: | MR. TIMOTHY ALAN PLATT |
| NPI Number: | 1225339351 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 67105 |
| Business Practice Address: | 12695 S Ocotillo Ridge Trl Vail, AZ - 856419396 |
| Business Phone Number: | 5207625382 |
| Business Fax Number: | |
| Mailing Address: | 12695 S Ocotillo Ridge Trl, VAIL |
| State: | AZ |
| Postal Code: | 856419396 |
| Phone Number: | 5207625382 |
| Fax Number: | |
| NPI Enumeration Date: | 11/05/2010 |
| NPI Last Update Date: | 11/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 67105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |