Provider Demographics
NPI:1205858487
Name:RING, TIMOTHY E (EDD)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:E
Last Name:RING
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N PARK RD BLDG 5
Mailing Address - Street 2:
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-2945
Mailing Address - Country:US
Mailing Address - Phone:610-823-7799
Mailing Address - Fax:
Practice Address - Street 1:220 N PARK RD BLDG 5
Practice Address - Street 2:
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-2945
Practice Address - Country:US
Practice Address - Phone:610-823-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006296L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA012663K34Medicare PIN