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DR. TIMOTHY PATRICK CARMODY PH.D.

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1679515571

Individual Registrant:
DR. TIMOTHY PATRICK CARMODY PH.D.
Gender: M

Location and contact information for practice:
100 TAMAL PLZ SUITE 102 CORTE MADERA, CA 94925-1125 US
Tel: 415-924-5513  Fax: --

Contact information for business:
100 TAMAL PLZ SUITE 102 CORTE MADERA, CA 94925-1125 US
Tel: 415-924-5513  Fax: --

Registration Information:
NPI: 1679515571
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
CAPSY 9460

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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