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Individual

DR. TIMOTHY J NYBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1101 SCOTT AVE, SUITE 27, WICHITA FALLS, TX 76301-4671
(940) 761-9700
Mailing address
1101 SCOTT AVE, SUITE 27, WICHITA FALLS, TX 76301-4671
(940) 761-9700

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
33308
TX
103TC0700X
Clinical Psychologist
Primary
33308
TX
103TF0200X
Forensic Psychologist
33308
TX

Other

Enumeration date
09/15/2009
Last updated
10/31/2012
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