TIM GOMERSALL

EUREKA, CA
NPI1114285772
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TS0200X Psychologist, School
(Licence: CA  LEP 2754)
Enumeration Date2012-05-01
Last Update Date2012-05-01
Business Address
-- TIM GOMERSALL L.E.P.
525 2ND ST
EUREKA, CA 95501-5107
Phone number: 707-407-7475
Mailing Address
-- TIM GOMERSALL L.E.P.
PO BOX 6131
EUREKA, CA 95502-6131
Phone number: 707-407-7475