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DR. 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:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC635
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
NC635
N103TB0200XBehavioral Health & Social Service Providers
Psychologist
NC635
N103TC0700XBehavioral Health & Social Service Providers
Psychologist
NC635
N103TH0100XBehavioral Health & Social Service Providers
Psychologist
NC635
N103TP2701XBehavioral Health & Social Service Providers
Psychologist
NC635
N103TR0400XBehavioral Health & Social Service Providers
Psychologist
NC635

Other Provider Identifiers:

IssuerNumberStateType
6000280NC05
BCBS PROVIDER ID04862NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS NC - Page 1



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