DR. Timothy Tennyson, PHD

NPI #1407290752 in Costa Mesa, California

Provider Information

NPI Number: 1407290752
Entity Type: Individual
Name: DR. Timothy Tennyson, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PHD
Enumeration Date: Apr 17, 2013
Last Updated: Apr 17, 2013

Practice Location

Address: 3140 RED HILL AVE STE 130
City: Costa Mesa
State: California
ZIP Code: 92626-3400
Phone: (949) 307-3600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinical Neuropsychologist	103G00000X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X	Primary
Psychologist - Forensic — Forensic	103TF0200X

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