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Contact Information

TIMOTHY B TOBIN II, PSYD MA LCMHC LPC
FORT DRUM
WATERTOWN, NY13603
 Phone: 315-772-3301
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for TIMOTHY B TOBIN II · (Male)

NPI # 1467578021
Status Active
Credentials PSYD MA LCMHC LPC
Entity Individual
Enumeration date 03/22/2007
Last updated 01/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NH License # 641
  • PA License # PC006940
  • UT License # 3419076004
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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