Boling, Timothy B

Boling, Timothy B is an individual health care provider with primary practice located at 1030 Jefferson Ave , Memphis TN 38104-2127. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Boling, Timothy B can be contacted via phone (901) 523-8990.

Contact Information

Primary practice address
1030 Jefferson Ave Memphis TN 38104-2127
Phone: (901) 523-8990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1457484891
LBN Legal business name Boling, Timothy B
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Jul 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457484891 NPPES
Kentucky MEDICAID 30615058

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