Gillum Psychological & Counseling Services

NPI 1003248451 - Psychologist - 103T00000X

NPI Details
NPI 1003248451
Enumeration Date 08/07/2013
Last Updated 08/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL WILLIAM MICHAEL
Position LICENSED PSYCHOLOGIST, OWNER
Phone (570) 321-6390
Fax (570) 321-6393
Practice Location
454 PINE ST
SUITE 1B
WILLIAMSPORT PA, 17701-6200, US
Phone (570) 321-6390
Fax (570) 321-6393
Business Location
454 PINE ST
SUITE 1B
WILLIAMSPORT PA, 17701-6200, US
Phone (570) 321-6390
Fax (570) 321-6393
Toxanomy
Taxonomy Code 103T00000X
License State Pennsylvania
License Number PS-007825L
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According to our database, Gillum Psychological & Counseling Services NPI is 1003248451, taxonomy code is 103T00000X and license number is PS-007825L, license state is located at Pennsylvania. Gillum Psychological & Counseling Services physically located at 454 Pine St, Williamsport PA, 17701-6200. NPI Number 1033115704 has the healthcare provider type.

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1003248451 NPI number is provided on an as is basis without warranty of any kind. 1003248451 is maintained by the National Plan & Provider Enumeration System. The contents of Gillum Psychological & Counseling Services are for informational purposes only.