Doctor Name: | MR. TIMOTHY B TOBIN |
NPI Number: | 1467578021 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A., LCMHC, CAS |
License Number: | 3419076004 |
Business Practice Address: | 165 Village Circle Way #3 Manchester, NH - 03102 |
Business Phone Number: | 6033983477 |
Business Fax Number: | |
Mailing Address: | 165 Village Circle Way, #3 MANCHESTER |
State: | NH |
Postal Code: | 03102 |
Phone Number: | 6033983477 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2007 |
NPI Last Update Date: | 08/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 3419076004 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |