Provider Demographics
NPI:1215637079
Name:CLAMPITT, TIMOTHY RAY
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:RAY
Last Name:CLAMPITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 E SILVERSTONE DR APT 3014
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-4968
Mailing Address - Country:US
Mailing Address - Phone:310-622-2289
Mailing Address - Fax:
Practice Address - Street 1:8010 E MORGAN TRL STE 12
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1234
Practice Address - Country:US
Practice Address - Phone:480-256-8450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-08
Last Update Date:2025-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-23727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health