Individual
DR. TIMOTHY IMMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(320) 761-1395
Mailing address
341 MILLER ST, WINSTON SALEM, NC 27103-3659
(320) 761-1395
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
103590
NC
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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