TIMOTHY M TAVIS

WEST PALM BEACH, FL
NPI1922184316
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: FL  PY 6213)
Enumeration Date2006-10-27
Last Update Date2007-07-08
Business Address
-- TIMOTHY M TAVIS PH D
1900 S OLIVE AVE
WEST PALM BEACH, FL 33401-7726
Phone number: 561-882-4008
Mailing Address
-- TIMOTHY M TAVIS PH D
1281 E BLUE HERON BLVD # 162
RIVIERA BEACH, FL 33404-4739
Phone number: 561-882-4008