Dr. Timothy Keith Dechenne, Ph.D.
Psychologist in Colton, CA. Individual provider (NPI-1).
NPI number1962544486
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1962544486
- Entity type
- Individual (NPI-1)
- Name
- Dr. Timothy Keith Dechenne
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PSY6663 | CA | Yes |
Practice location
1330 E Cooley DrColton, CA 92324-3905
Phone 909-423-0750 · Fax 909-423-0760
Mailing address
Po Box 56492Riverside, CA 92517-1392
Phone 909-423-0750 · Fax 909-423-0760
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