Dr. Timothy James Legg
Clinical Psychologist Nurse Practitioner - Gerontology Nurse Practitioner - Psychiatric/Mental Health
340 Montage Mountain Rd
Moosic
, Pennsylvania 18507-1782
Dr. Timothy James Legg
Clinical Psychologist Nurse Practitioner - Gerontology Nurse Practitioner - Psychiatric/Mental Health
340 Montage Mountain Rd
Moosic
, Pennsylvania 18507-1782
(570) 558-6838
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About
Features
Specialties
- Clinical Psychologist
- Nurse Practitioner - Gerontology
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Dr. Timothy James Legg
- 340 Montage Mountain Rd
- Moosic, PA
- Zip : 18507-1782
- Fax : (570) 558-6838
- Phone : (570) 346-3686
Second Address
- Dr. Timothy James Legg
- 340 Montage Mountain Rd
- Moosic, PA
- Zip : 18507-1782
- Fax : (570) 558-6838
- Phone : (570) 346-3686
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | PS019448 | PA |
| N | 103TC0700X | Clinical Psychologist | PS019448 | PA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | SP-006515-H | PA |
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP013800 | PA |
National Provider Identifier
| NPI | 1063427417 |
|---|---|
| Provider Name | Dr. Timothy James Legg |
| First Address | Moosic, PA 18507-1782 |
| Second Address | Moosic, PA 18507-1782 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 30/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.