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1922184316
TIMOTHY M TAVIS
WEST PALM BEACH, FL
NPI
1922184316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: FL PY 6213)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
-- TIMOTHY M TAVIS PH D
1900 S OLIVE AVE
WEST PALM BEACH, FL 33401-7726
Phone number: 561-882-4008
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Mailing Address
-- TIMOTHY M TAVIS PH D
1281 E BLUE HERON BLVD # 162
RIVIERA BEACH, FL 33404-4739
Phone number: 561-882-4008
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