Provider Information for 1386150928
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
TIMOTHY MASTERS LCSW
Sex: Male
NPI: 1386150928
Last Updated: 2024-09-16
Certification Date: 2024-09-16
Certification Date: 2024-09-16
Details
| Name | Value | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1386150928 | |||||||||||||||||||||
| Enumeration Date | 2017-12-19 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | NO | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 510 W 29TH ST CHEYENNE, WY 82001-2760 United States Phone: 307-426-4728 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 2526 SEYMOUR AVE CHEYENNE, WY 82001-3159 United States Phone: 307-634-9653 | Fax: | |||||||||||||||||||||
| Secondary Practice Address(es) | ||||||||||||||||||||||
| Health Information Exchange |
| |||||||||||||||||||||
| Other Identifiers |
| |||||||||||||||||||||
| Taxonomy |
|