Timchack, Stephen M

Timchack, Stephen M is an sole proprietor health care provider with primary practice located at 480 Pierce St Suite 119, Kingston PA 18704-5512. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Timchack, Stephen M can be contacted via phone (570) 714-1981.

Contact Information

Primary practice address
480 Pierce St Suite 119 Kingston PA 18704-5512
Phone: (570) 714-1981
Fax: (570) 714-1983
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC002136 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016722 Pennsylvania
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-01-0675 Pennsylvania
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS016722 Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS016722 Pennsylvania

Profile Details

NPI number 1023281557
LBN Legal business name Timchack, Stephen M
Credentials PSYD, BCBA-D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Mar 27th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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