Gillum Psychological & Counseling Services

NPI #1891115119 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1891115119
Entity Type: Organization
Organization Name: Gillum Psychological & Counseling Services
Primary Specialty: Psychologist
Enumeration Date: Apr 25, 2014
Last Updated: Apr 25, 2014

Practice Location

Address: 454 PINE ST
Address 2: SUITE 1B
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-6200
Phone: (570) 321-6390

Authorized Official

Name: MICHAEL W. GILLUM, MA
Title: LICENSED PSYCHOLOGIST
Phone: (570) 321-6390

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Psychologist	103T00000X	Primary

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