Timothy Lee Bartlett, FAMILY THERAPIST

Individual provider Active NPI Marriage & Family Therapist · Steilacoom, WA

NPI 1174739742 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174739742
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
L82 (AL)
Practice address
2410 Worthington St
Steilacoom, WA 98388-3503
Phone
(253) 967-3686
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L82ALMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L82 AL Yes

Addresses

Primary practice location

2410 Worthington St
Steilacoom, WA 98388-3503

Mailing address

2410 Worthington St
Steilacoom, WA 98388-3503

Other providers in Steilacoom, WA

All providers in Steilacoom, WA · Marriage & Family Therapist in Washington

Sources for this page

Verify at the official NPI Registry.