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General NPI Number Information
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NPI Number | 1578639860
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Entity Type | Individual
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Provider Name | TIMOTHY JOHN TORMEY PSYD LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 137 N COTTONWOOD ST STE 2500
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City | WOODLAND
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State | CA
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Zip | 95695-6664
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Country | US
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Telephone | 530-312-4928
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Fax | 530-666-8294
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Provider Business Mailing Address
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Address Line | 3707 THIRD AVE
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City | SAN DIEGO
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State | CA
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Zip | 92103
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Country | US
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Telephone | 619-244-3575
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Fax | 619-542-0324
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC36339
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License Number State | CA
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