| Doctor Name: | TIMOTHY EARLY |
| NPI Number: | 1023259488 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PC-0000463 |
| Business Practice Address: | 884 Walker Rd Ste B Dover, DE - 199042758 |
| Business Phone Number: | 3026784911 |
| Business Fax Number: | 3026784948 |
| Mailing Address: | 835 Springdale Dr, Suite 100 EXTON |
| State: | PA |
| Postal Code: | 193412841 |
| Phone Number: | 6103631488 |
| Fax Number: | 4847131030 |
| NPI Enumeration Date: | 03/16/2009 |
| NPI Last Update Date: | 03/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC-0000463 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |