DR. Timothy Ryan Southerland, PHD

NPI #1154971513 in Little Rock Afb, Arkansas

Provider Information

NPI Number: 1154971513
Entity Type: Individual
Name: DR. Timothy Ryan Southerland, PHD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Sep 18, 2019
Last Updated: Aug 22, 2022

Practice Location

Address: 1090 ARNOLD DR
City: Little Rock Afb
State: Arkansas
ZIP Code: 72099-4933
Phone: (501) 987-7338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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