Individual
DR. TIMOTHY JAMES LEGG
Active
Individual
DR. TIMOTHY JAMES LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, PSYD, CRNP
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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