MEDICARE: DR. TIMOTHY STRONGIN PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TP2701X	Group Psychotherapy Psychologist	431	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548291974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY STRONGIN PH.D.

Provider Business Mailing Address
First Line	:	1101 MEDICAL ARTS AVE. BLDG.3
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87102
Country	:	US
Telephone Number	:	505-247-1851
Fax Number	:	505-247-2397

Provider Business Practice Location Address
First Line	:	2340 ALAMO AVE SE STE 123
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-3523
Country	:	US
Telephone Number	:	505-212-7000
Fax Number	:	505-212-7001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	05/07/2008

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Directions to “ DR. TIMOTHY STRONGIN PH.D.” Practice Location

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