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Individual

DR. TIMOTHY JAMES LEGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, PSYD, CRNP

Contact information

Practice address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 682-5777
(570) 284-3078
Mailing address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 682-5777
(570) 284-3078

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019448
PA
363LG0600X
Gerontology Nurse Practitioner
SP-006515-H
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
SP013800
PA

Other

Enumeration date
07/31/2006
Last updated
11/12/2024
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