Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy U Ketterson PHD PA

Organization Counseling Psychologist · NPI 1720253297

Timothy U Ketterson PHD PA is a Counseling Psychologist in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4965 SW 91st Ter Ste A
Gainesville, FL 32608-8149
Phone: (352) 337-0551
Fax: (352) 374-2166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence PY7453 (FL)

Record details

NPI number1720253297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Norma Box — Office Manager · (352) 337-0551
NPI enumeratedApril 25, 2008
Last updated in NPPESMay 29, 2008
Mailing address4965 Sw 91st Ter, Suite A, Gainesville, FL 32608-8149

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