Individual provider · Type 1 NPI

Timothy Immelman, PhD

Health Service Psychologist · Winston Salem, NC

NPI number 1245088186 Active

Practice location

3325 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Call (320) 761-1395 Map

Mailing address

341 Miller St
Winston Salem, NC 27103-3659

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X103590 (NC)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1245088186

Timothy Immelman, PhD's National Provider Identifier is 1245088186, issued on May 7, 2024. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Winston Salem, NC. The record was last updated on May 7, 2024.