Gillum Psychological & Counseling Services | |
454 Pine St Suite 1b Williamsport PA 17701-6200 | |
(570) 321-6390 | |
(570) 321-6393 |
Full Name | Gillum Psychological & Counseling Services |
---|---|
Speciality | Psychologist |
Location | 454 Pine St, Williamsport, Pennsylvania |
Authorized Official Name and Position | Michael William Gillum (LICENSED PSYCHOLOGIST, OWNER) |
Authorized Official Contact | 5703216390 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gillum Psychological & Counseling Services 454 Pine St Suite 1b Williamsport PA 17701-6200 Ph: (570) 321-6390 | Gillum Psychological & Counseling Services 454 Pine St Suite 1b Williamsport PA 17701-6200 Ph: (570) 321-6390 |
NPI Number | 1003248451 |
---|---|
Provider Enumeration Date | 08/07/2013 |
Last Update Date | 08/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003248451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS-007825L (Pennsylvania) | Primary |
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