Individual
TIMOTHY CHARLES DEMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2806 HAMILTON BLVD, ALLENTOWN, PA 18104-6116
(610) 841-4966
(610) 841-4967
Mailing address
2806 HAMILTON BLVD, ALLENTOWN, PA 18104-6116
(610) 841-4966
(610) 841-4967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005761L
PA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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