TIMOTHY RYAN SOUTHERLAND

LITTLE ROCK AFB, AR
NPI1154971513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AR  202201)
Enumeration Date2019-09-18
Last Update Date2022-08-22
Business Address
Dr. TIMOTHY RYAN SOUTHERLAND PhD
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099-4933
Phone number: 501-987-7338
Mailing Address
Dr. TIMOTHY RYAN SOUTHERLAND PhD
1090 ARNOLD DR
LITTLE ROCK AFB, AR 72099-4933
Phone number: 501-987-7338