IndividualActive
Timothy Immelman, PHD
NPI 1245088186 · Health Service Psychologist · Winston Salem, NC
Provider details
- NPI number
- 1245088186
- Entity type
- Individual
- Primary specialty
- Health Service PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 103590 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3325 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone: (320) 761-1395
Approximate (ZIP-level) locationGet directions
Mailing address
341 Miller St
Winston Salem, NC 27103-3659
Registry dates
- Enumerated
- 2024-05-07
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.