Provider Demographics
NPI:1225170129
Name:TIMOTHY BRIDGES AND ASSOC
Entity Type:Organization
Organization Name:TIMOTHY BRIDGES AND ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIDGES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-850-7448
Mailing Address - Street 1:438 PELLIS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7900
Mailing Address - Country:US
Mailing Address - Phone:724-850-7448
Mailing Address - Fax:
Practice Address - Street 1:438 PELLIS RD
Practice Address - Street 2:SUITE 101
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-7900
Practice Address - Country:US
Practice Address - Phone:724-850-7448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1335823OtherBCBS
PA1335823OtherBCBS