MR. Michael William Gillum, MA

NPI #1194789180 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1194789180
Entity Type: Individual
Name: MR. Michael William Gillum, MA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: MA
Enumeration Date: Apr 14, 2006
Last Updated: Jan 28, 2025

Practice Location

Address: 705 WASHINGTON BLVD STE 100
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-5355
Phone: (570) 321-6390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X

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