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TIMOTHY TURCO PHD
>> Psychologist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1194857813
Individual Registrant: TIMOTHY TURCO PHD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
107 BROAD ST. PINE MOUNTAIN, GA 31822 US
Tel: 706-457-7673 Fax: --
Tel: 706-457-7673 Fax: --
Contact information for business:
1048 MOUNTAIN VIEW WAY PINE MOUNTAIN, GA 31822-2546 US
Tel: 706-457-7673 Fax: --
Tel: 706-457-7673 Fax: --
Registration Information:
NPI: 1194857813
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | GA | PSY002346 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 913515611A | GA | 05 |
