Webster, Timothy Norris
Webster, Timothy Norris is an individual health care provider with primary practice located at 160 Kimel Forest Dr Ste 100, Winston Salem NC 27103-6074. He recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Webster, Timothy Norris can be contacted via phone (336) 770-6451.Contact Information
Primary practice address
160 Kimel Forest Dr Ste 100
Winston Salem NC 27103-6074
Phone: (336) 770-6451
Fax: (336) 714-6475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 635 | North Carolina |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 635 | North Carolina |
Profile Details
| NPI number | 1629033006 |
|---|---|
| LBN Legal business name | Webster, Timothy Norris |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Oct 18th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629033006 | NPPES |
| North Carolina | Other | 04862 | BCBS PROVIDER ID |
| North Carolina | MEDICAID | 6000280 | BCBS PROVIDER ID |
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