Provider Demographics
NPI:1598964181
Name:SCALA, TIMOTHY ROSS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ROSS
Last Name:SCALA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S UNIVERSITY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3359
Mailing Address - Country:US
Mailing Address - Phone:954-475-1371
Mailing Address - Fax:954-475-1371
Practice Address - Street 1:150 S UNIVERSITY DR
Practice Address - Street 2:SUITE A
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3359
Practice Address - Country:US
Practice Address - Phone:954-475-1371
Practice Address - Fax:954-475-1371
Is Sole Proprietor?:No
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7522103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical