Stephen M Timchack in Kingston - Clinical Child & Adolescent
Stephen M Timchack - NPI 1023281557
Stephen M Timchack is a Clinical Child & Adolescent in Kingston, Pennsylvania. Stephen M Timchack practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Stephen M Timchack is 1023281557. The last update date is 2012-03-27.
Stephen M Timchack's current location address is 480 Pierce St, Kingston, Pennsylvania. You can contact this provider via phone number 5707141981 and fax number 5707141983. The mailing address for Stephen M Timchack is 480 Pierce St, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen M Timchack |
|---|---|
| Address | 480 Pierce St, Kingston, Pennsylvania |
| Phone Number | 5707141981 |
| Fax Number | 5707141983 |
| Sole Proprietor | Y |
| Credentials | PSYD, BCBA |
NPI Number Detail
| NPI Number | 1023281557 |
|---|---|
| Provider Enumeration Date | 2008-04-04 |
| Last Updated Date | 2012-03-27 |
Provider Mailing Address Detail
| Address | 480 Pierce St |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187045512 |
| Phone Number | 5707141981 |
| Fax Number | 5707141983 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PS016722 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code issued to Stephen M Timchack by the Centers for Medicare & Medicaid Services?
The Stephen M Timchack has been assigned the NPI (National Provider Identifier) 1023281557 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Stephen M Timchack is physically located?
The Stephen M Timchack is situated at the following address: 480 Pierce St, Kingston, PA 187045512.
What is the Stephen M Timchack's specialty and taxonomy code?
The Stephen M Timchack's specialty is Clinical Child & Adolescent, and the corresponding taxonomy code is 103Tc2200X.
On what date did the Stephen M Timchack receive the assignment of its 1023281557 from the Centers for Medicare & Medicaid Services?
The Stephen M Timchack was issued its 1023281557 by the Centers for Medicare & Medicaid Services on 2008-04-04.
As of what date were the details related to Stephen M Timchack most recently updated or revised?
The information pertaining to Stephen M Timchack, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-27.
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