MEDICARE: TIMOTHY BRIDGES AND ASSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TB0200X	Cognitive & Behavioral Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1335823	OTHER	PA	BCBS

General Provider Information

NPI Number	:	1225170129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIMOTHY BRIDGES AND ASSOC

Provider Business Mailing Address
First Line	:	438 PELLIS RD
Second Line	:	SUITE 101
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7900
Country	:	US
Telephone Number	:	724-850-7448
Fax Number	:

Provider Business Practice Location Address
First Line	:	438 PELLIS RD
Second Line	:	SUITE 101
City	:	GREENSBURG
State	:	PA
Zip	:	15601-7900
Country	:	US
Telephone Number	:	724-850-7448
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TIMOTHY BRIDGES
Credential	:	PHD
Telephone Number	:	724-850-7448

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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Directions to “TIMOTHY BRIDGES AND ASSOC ” Practice Location

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