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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STEPHEN M TIMCHACK, PSYD, BCBA-D

Active Sole Proprietor

DR. STEPHEN M TIMCHACK, PSYD, BCBA-D is a Clinical Psychologist healthcare provider located in KINGSTON, Pennsylvania. NPI 1023281557 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · KINGSTON, PA

Registration Details

NPI Number
1023281557
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2008 (18.341746419585 yrs)
Last Updated
Mar 27, 2012
Licenses
PC002136 (PA)
PS016722 (PA)
1-01-0675 (PA)
PS016722 (PA)
PS016722 (PA)
Sole Proprietor
Yes

Practice Information

Address
480 PIERCE ST
SUITE 119
KINGSTON, PA, 187045512
Browse PA providers · Browse ZIP 18704
Phone
5707141981
Fax
5707141983
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
Additional Specialty
Behavior Analyst
Additional Specialty
Child, Clinical Psychologist

Other Clinical Psychologist Providers in KINGSTON, PA

Name Credential NPI
DR. PAUL THOMAS TAREN PH.D. 1467451591
MR. E F DELANEY M.A. 1568448215
DR. KIMBERLY S D'ANDREA PSY.D. 1275738718
MARIA C RICHARDS PSY.D. 1386964963
DIANA CUELLO PH.D 1144578758
NICOLE ASHTON PSYD 1790272888
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.