Dr Holly J Timberlake, PHD is a
Psychologist based in Hudson, Ohio. Dr Holly J Timberlake is licensed to practice in Ohio (license number 5562) and her current practice location is
10 W Streetsboro St, Suite 302, Hudson, Ohio. She can be reached at her office (for appointments etc.) via phone at
(330) 653-5081.
NPI number for Dr Holly J Timberlake is 1568546588 and her current mailing address is 10 W Streetsboro St, Suite 302, Hudson, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568546588.
Healthcare Provider's Profile
| Full Name | Dr Holly J Timberlake |
|---|
| Gender | Female |
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| Speciality | Psychologist |
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| Location | 10 W Streetsboro St, Hudson, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568546588
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 04/14/2010
Medical Identifiers
Medical identifiers for Dr Holly J Timberlake such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568546588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | E0001997 (Ohio) | Secondary |
| 103T00000X | Psychologist | 5562 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Holly J Timberlake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Holly J Timberlake, PHD
10 W Streetsboro St, Suite 302,
Hudson, OH 44236-2850
Ph: (330) 653-5081 | Dr Holly J Timberlake, PHD
10 W Streetsboro St, Suite 302,
Hudson, OH 44236-2850
Ph: (330) 653-5081 |
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