Provider Demographics
NPI:1689886335
Name:ROONEY, TIMOTHY JOHN (BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:JOHN
Last Name:ROONEY
Suffix:
Gender:M
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 LINCOLN WAY EAST
Mailing Address - Street 2:
Mailing Address - City:NEW OXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:17350
Mailing Address - Country:US
Mailing Address - Phone:717-624-1333
Mailing Address - Fax:717-624-4391
Practice Address - Street 1:380 LINCOLN WAY EAST
Practice Address - Street 2:
Practice Address - City:NEW OXFORD
Practice Address - State:PA
Practice Address - Zip Code:17350
Practice Address - Country:US
Practice Address - Phone:717-624-1333
Practice Address - Fax:717-624-4391
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02554237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist