Individual
DR. TIMOTHY USHER KETTERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4965 SW 91ST TER, SUITE A, GAINESVILLE, FL 32608-8149
(352) 337-0551
(352) 374-2166
Mailing address
4965 SW 91ST TER, SUITE A, GAINESVILLE, FL 32608-8149
(352) 337-0551
(352) 374-2166
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PY7453
FL
Other
Enumeration date
01/29/2007
Last updated
11/16/2007
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