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Individual

DR. TIMOTHY LIONETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
421 S STATE ST, CLARKS SUMMIT, PA 18411-1684
(570) 585-2927
Mailing address
PO BOX 32, CLARKS SUMMIT, PA 18411-0032
(570) 585-2927

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
PS015638
PA
103TS0200X
School Psychologist
Primary

Other

Enumeration date
03/15/2007
Last updated
09/07/2011
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