Provider Demographics
NPI:1811106263
Name:ERB, TIMOTHY J (MA)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:J
Last Name:ERB
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 EASTON RD
Mailing Address - Street 2:REGENCY TOWERS THE MANOR SUITE 102
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2028
Mailing Address - Country:US
Mailing Address - Phone:215-657-3846
Mailing Address - Fax:
Practice Address - Street 1:1001 EASTON RD
Practice Address - Street 2:REGENCY TOWERS THE MANOR SUITE 102
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2028
Practice Address - Country:US
Practice Address - Phone:215-657-3846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004428L103T00000X, 103TA0400X, 103TC0700X, 103TC2200X, 103TF0000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist