NPI 1063427417

Timothy James Legg, PHDPSYDCRNP

Practitioner Clinical Psychologist Clarks Summit, PA

Practice location

Address: 421 S State St, Clarks Summit, PA 18411-1684
Phone: (570) 682-5777
Fax: (570) 284-3078

Registered specialties (3)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS019448 (PA)

Other Psychologist providers in Pennsylvania →

Gerontology Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence SP-006515-H (PA)

Other Nurse Practitioner providers in Pennsylvania →

Psychiatric/Mental Health Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence SP013800 (PA)

Registry record

NPI: 1063427417
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jul 2006
Record last updated: 12 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.