Church, Michael Allan

Church, Michael Allan is an individual health care provider with primary practice located at 562 Wyoming Ave Nesbitt Hospital, Kingston PA 18704-3721. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Church, Michael Allan can be contacted via phone (570) 552-3891.

Contact Information

Primary practice address
562 Wyoming Ave Nesbitt Hospital Kingston PA 18704-3721
Phone: (570) 552-3891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 003386 Pennsylvania

Profile Details

NPI number 1053312330
LBN Legal business name Church, Michael Allan
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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