Michael Allan Church PHD

NPI 1053312330 - Psychologist - 103T00000X

NPI Details
NPI 1053312330
Gender Male
Enumeration Date 08/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
562 WYOMING AVE
NESBITT HOSPITAL
KINGSTON PA, 18704-3721, US
Phone (570) 552-3891
Fax
Business Location
562 WYOMING AVE
NESBITT HOSPITAL
KINGSTON PA, 18704-3721, US
Phone (570) 552-3891
Fax (570) 552-3891
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number 003386
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According to our database, Dr. Michael Allan Church PHD NPI is 1053312330, taxonomy code is 103T00000X and license number is 003386, license state is located at Pennsylvania. Michael Allan Church PHD physically located at 562 Wyoming Ave, Kingston PA, 18704-3721. NPI Number Michael Allan Church PHD has the Individual type.

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1053312330 NPI number is provided on an as is basis without warranty of any kind. 1053312330 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Allan Church PHD are for informational purposes only.