Timothy C Short, PH.D.

NPI #1891708335 in Melbourne, Florida

Provider Information

NPI Number: 1891708335
Entity Type: Individual
Name: Timothy C Short, PH.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Group Psychotherapy
Credential: PH.D.
Enumeration Date: Aug 14, 2006
Last Updated: Sep 9, 2008

Practice Location

Address: 1611 S APOLLO BLVD
City: Melbourne
State: Florida
ZIP Code: 32901-4407
Phone: (321) 724-2444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Group Psychotherapy — Group Psychotherapy	103TP2701X	Primary

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