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Contact Information

TIMOTHY PARKS, PhD
109 BOTANY BAY BLVD
NORTH CHARLESTON, SC29418-3003
 Phone: 716-946-3138
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TIMOTHY PARKS · (Male)

NPI Number 1477390268
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/10/2024
Last updated 09/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 025551-01
  • SC License # 1890
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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