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1891708335
TIMOTHY C SHORT
MELBOURNE, FL
NPI
1891708335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TP2701X Psychologist, Group Psychotherapy
(Licence: FL PY4790)
Enumeration Date
2006-08-14
Last Update Date
2008-09-09
Business Address
-- TIMOTHY C SHORT Ph.D.
1611 S APOLLO BLVD
MELBOURNE, FL 32901-4407
Phone number: 321-724-2444
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Mailing Address
-- TIMOTHY C SHORT Ph.D.
1611 S APOLLO BLVD
MELBOURNE, FL 32901-4407
Phone number: 321-724-2444
Copy
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