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Contact Information

TIMOTHY J WORDEN, PhD
1160 N DUTTON AVE STE 230
SANTA ROSA, CA95401-4658
 Phone: 707-303-3201
 Fax: 707-526-8310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIMOTHY J WORDEN · (Male)

NPI # 1447488127
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/01/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # PSY19475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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