Organization
TIMOTHY U KETTERSON PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA A BOX (OFFICE MANAGER)
(352) 337-0551
Entity
Organization
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
04/25/2008
Last updated
05/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up