Provider Demographics
NPI:1578639860
Name:TORMEY, TIMOTHY JOHN (PSYD LMFT)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:JOHN
Last Name:TORMEY
Suffix:
Gender:M
Credentials:PSYD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3707 THIRD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103
Mailing Address - Country:US
Mailing Address - Phone:619-244-3575
Mailing Address - Fax:619-542-0324
Practice Address - Street 1:137 N COTTONWOOD ST STE 2500
Practice Address - Street 2:
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-6664
Practice Address - Country:US
Practice Address - Phone:530-312-4928
Practice Address - Fax:530-666-8294
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC36339106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist