| Doctor Name: | MR. TIMOTHY H. LINEAWEAVER |
| NPI Number: | 1316127186 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMAC, CADC-1 |
| License Number: | 4081 |
| Business Practice Address: | 107 Commercial St Mashpee, MA - 02649 |
| Business Phone Number: | 5084777090 |
| Business Fax Number: | 5084777028 |
| Mailing Address: | 107 Commercial St, MASHPEE |
| State: | MA |
| Postal Code: | 02649 |
| Phone Number: | 5084777090 |
| Fax Number: | 5084777028 |
| NPI Enumeration Date: | 11/09/2007 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4081 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |