Gillum, Michael William

Gillum, Michael William is an sole proprietor health care provider with primary practice located at 705 Washington Blvd Ste 100 , Williamsport PA 17701-5355. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gillum, Michael William can be contacted via phone (570) 321-6390.

Contact Information

Primary practice address
705 Washington Blvd Ste 100 Williamsport PA 17701-5355
Phone: (570) 321-6390
Fax: (570) 321-6393
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X PS-007825-L Pennsylvania
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS-007825-L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS-007825-L Pennsylvania

Profile Details

NPI number 1194789180
LBN Legal business name Gillum, Michael William
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated May 9th, 2024 - about last year

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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