IndividualActive
Timothy Short, PH.D.
NPI 1891708335 · Group Psychotherapy Psychologist · Melbourne, FL
Provider details
- NPI number
- 1891708335
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PY4790 (FL)
Practice location
1611 S Apollo Blvd
Melbourne, FL 32901-4407
Phone: (321) 724-2444
Fax: (321) 952-4131
Mailing address
1611 S Apollo Blvd
Melbourne, FL 32901-4407
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2008-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.