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Contact Information

TIMOTHY J LEGG, PHD, PSYD, CRNP
421 S STATE ST
CLARKS SUMMIT, PA18411-1684
 Phone: 570-682-5777
 Fax: 570-284-3078
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TIMOTHY J LEGG · (Male)

NPI Number 1063427417
Status Active
Credentials PHD, PSYD, CRNP
Entity Individual
Enumeration date 07/31/2006
Last updated 11/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # PS019448
  • PA License # SP-006515-H
  • PA License # SP013800
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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