Healthcare Provider Details

I. General information

NPI: 1437606241
Provider Name (Legal Business Name): TIMOTHY HONIG MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2016
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 DOE RUN RD
NEWARK DE
19711-2404
US

IV. Provider business mailing address

1051 DOE RUN RD
NEWARK DE
19711-2404
US

V. Phone/Fax

Practice location:
  • Phone: 630-779-4298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: