MEDICARE: MR. TIMOTHY J ERB MA

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	103T00000X	Psychologist	PS004428L	PA
2	103TA0400X	Addiction (Substance Use Disorder) Psychologist	PS004428L	PA
3	103TC0700X	Clinical Psychologist	PS004428L	PA
4	103TC2200X	Clinical Child & Adolescent Psychologist	PS004428L	PA
5	103TF0000X	Family Psychologist	PS004428L	PA
6	106H00000X	Marriage & Family Therapist	PS004428L	PA

General Provider Information

NPI Number	:	1811106263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TIMOTHY J ERB MA

Provider Business Mailing Address
First Line	:	1001 EASTON RD
Second Line	:	REGENCY TOWERS THE MANOR SUITE 102
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-2028
Country	:	US
Telephone Number	:	215-657-3846
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 EASTON RD
Second Line	:	REGENCY TOWERS THE MANOR SUITE 102
City	:	WILLOW GROVE
State	:	PA
Zip	:	19090-2028
Country	:	US
Telephone Number	:	215-657-3846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	09/11/2025

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