Individual
DR. TYME RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
800 E LANCASTER AVE, VILLANOVA, PA 19085-1603
(610) 519-4050
Mailing address
800 E LANCASTER AVE, VILLANOVA, PA 19085-1603
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018677
PA
Other
Enumeration date
04/28/2020
Last updated
06/22/2020
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