Organization
STEPHEN M. TIMCHACK, PSYD, P.C.
Active
Organization
STEPHEN M. TIMCHACK, PSYD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN M TIMCHACK PSYD (PSYCHOLOGIST/OWNER)
(570) 714-1981
Entity
Organization
Contact information
Practice address
480 PIERCE ST, SUITE 119, KINGSTON, PA 18704-5512
(570) 714-1981
Mailing address
480 PIERCE ST, SUITE 119, KINGSTON, PA 18704-5512
(570) 714-1981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016722
PA
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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