Individual
DR. TIMOTHY PATRICK PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP, MSCP
Contact information
Practice address
412 MDG, 31 NIGHTINGALE RD, EDWARDS AFB, CA 93523
(661) 277-5291
Mailing address
412 MDG, 30 NIGHTINGALE RD, EDWARDS AFB, CA 93523
(661) 277-2397
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
5971567
ID
103TP0016X
Prescribing (Medical) Psychologist
Primary
5971567
ID
Other
Enumeration date
12/16/2016
Last updated
12/22/2025
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