Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY C SHORT, PH.D.
Active Sole ProprietorTIMOTHY C SHORT, PH.D. is a Geriatric Psychologist healthcare provider located in MELBOURNE, Florida. NPI 1891708335 is currently active in the NPPES registry. Verify at CMS.
Geriatric Psychologist · MELBOURNE, FL
Registration Details
- NPI Number
- 1891708335
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2006 (20.01620258861 yrs)
- Last Updated
- Sep 9, 2008
- License
-
PY4790 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1611 S APOLLO BLVDMELBOURNE, FL, 329014407Browse FL providers · Browse ZIP 32901
- Phone
- 3217242444
- Fax
- 3219524131
- Primary Specialty
-
Geriatric Psychologist
103TP2701X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.