Provider Demographics
NPI:1487778973
Name:WRIGHT, TIMOTHY H (PSYD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:H
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PRICE AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:NARBERTH
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1968
Mailing Address - Country:US
Mailing Address - Phone:609-320-7742
Mailing Address - Fax:610-313-4474
Practice Address - Street 1:210 PRICE AVE APT 2
Practice Address - Street 2:
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-1968
Practice Address - Country:US
Practice Address - Phone:609-320-7742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00360200103TC0700X
PAPS017780103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical