Mr. Michael William Gillum
Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
454 Pine St
Williamsport
, Pennsylvania 17701-6200
Mr. Michael William Gillum
Psychologist Cognitive & Behavioral Psychologist Clinical Child & Adolescent Psychologist
454 Pine St
Williamsport
, Pennsylvania 17701-6200
(570) 321-6393
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About
Features
Specialties
- Psychologist
- Cognitive & Behavioral Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Mr. Michael William Gillum
- 454 Pine St
- Williamsport, PA
- Zip : 17701-6200
- Fax : (570) 321-6393
- Phone : (570) 321-6390
Second Address
- Mr. Michael William Gillum
- 454 Pine St
- Williamsport, PA
- Zip : 17701-6200
- Fax : (570) 321-6393
- Phone : (570) 321-6390
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 102L00000X | Psychologist | PS-007825-L | PA |
| N | 103T00000X | Psychologist | PS-007825-L | PA |
| N | 103TB0200X | Cognitive & Behavioral Psychologist | PS-007825-L | PA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | PS-007825-L | PA |
National Provider Identifier
| NPI | 1194789180 |
|---|---|
| Provider Name | Mr. Michael William Gillum |
| First Address | Williamsport, PA 17701-6200 |
| Second Address | Williamsport, PA 17701-6200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.