Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersDR. TIMOTHY NORRIS WEBSTER PHD
Clinical Neuropsychologist
Winston Salem, North Carolina
Provider NPI: 1629033006
Provider Information:DR. TIMOTHY NORRIS WEBSTER PHD
Gender: M
Not Sole Proprietor
Practice Location:
160 KIMEL FOREST DR STE 100 WINSTON SALEM, NC 27103 US
Tel: 336-770-6451 Fax: 336-714-6475
Business Mailing Address:
160 KIMEL FOREST DR STE 100 WINSTON SALEM, NC 27103 US
Tel: 336-770-6451 Fax: 336-714-6475
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | NC | 635 |
| Y | 103T00000X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
| N | 103TB0200X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
| N | 103TC0700X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
| N | 103TH0100X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
| N | 103TP2701X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
| N | 103TR0400X | Behavioral Health & Social Service Providers Psychologist | NC | 635 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 6000280 | NC | 05 | |
| BCBS PROVIDER ID | 04862 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
