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Contact Information

TIMOTHY ANDREAE, M.A., L.C.P.C.
1674 W HILL RD STE 14
BOISE, ID83702-0958
 Phone: 208-805-0105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for TIMOTHY ANDREAE · (Male)

NPI Number 1346626223
Status Active
Credentials M.A., L.C.P.C.
Entity Individual
Enumeration date 08/03/2015
Last updated 03/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # LPC-5941
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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