Individual
TIMOTHY PARKS
Active
Individual
TIMOTHY PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1890
SC
103TH0100X
Health Service Psychologist
025551-01
NY
Other
Enumeration date
07/10/2024
Last updated
06/17/2026
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