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Contact Information

SALLY A TIMMONS LLC
120 SAGAMORE PARKWAY WEST
WEST LAFAYETTE, IN47906
 Phone: 765-404-6431
 Fax: 765-477-7843
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SALLY A TIMMONS LLC · (Female)

NPI Number 1871784330
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2007
Last updated 11/15/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN License # 34004910A
  • IN Other 000000375779 ANTHEM BCBS
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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