Provider Demographics
NPI:1194994129
Name:CHOMYN, TIM JOSEPH (PSYCHOLOGIST)
Entity type:Individual
Prefix:DR
First Name:TIM
Middle Name:JOSEPH
Last Name:CHOMYN
Suffix:
Gender:M
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 CLEARVIEW DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-2230
Mailing Address - Country:US
Mailing Address - Phone:706-346-6746
Mailing Address - Fax:
Practice Address - Street 1:1130 CLEARVIEW DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-2230
Practice Address - Country:US
Practice Address - Phone:706-346-6746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-24
Last Update Date:2008-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1082103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist