Pettett, Timothy William

Pettett, Timothy William is an individual health care provider with primary practice located at 298 Bernal Rd , San Jose CA 95119-1809. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Pettett, Timothy William can be contacted via phone (510) 337-7950.

Contact Information

Primary practice address
298 Bernal Rd San Jose CA 95119-1809
Phone: (510) 337-7950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California

Profile Details

NPI number 1104545490
LBN Legal business name Pettett, Timothy William
Credentials SUDRC #16547
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2022
Last updated Oct 20th, 2024 - about 2 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.

Request for update

Popular Providers