1851508865 NPI number — DR. TIMOTHY MICHAEL OSBERG PH.D.

Table of content: DR. TIMOTHY MICHAEL OSBERG PH.D. (NPI 1851508865)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851508865 NPI number — DR. TIMOTHY MICHAEL OSBERG PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OSBERG
Provider First Name:
TIMOTHY
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851508865
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
109 HIDDEN OAKS CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GRAND ISLAND
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14072-2575
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-286-8524
Provider Business Mailing Address Fax Number:
716-286-8254

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
135 DEPAUL HALL
Provider Second Line Business Practice Location Address:
NIAGARA UNIVERSITY - DEPT. OF PSYCHOLOGY
Provider Business Practice Location Address City Name:
NIAGARA UNIVERSITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14109-2208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-286-8524
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  8018 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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