Individual provider · Type 1 NPI

Michael William Gillum, MA

Psychologist · Williamsport, PA

NPI number 1194789180 Active

Practice location

705 Washington Blvd Ste 100
Williamsport, PA 17701-5355

Fax (570) 321-6393

Specialties and licenses

TaxonomyCodeLicense
Clinical Child & Adolescent Psychologist 103TC2200XPS007825L (PA)
Psychologist Primary 103T00000XPS007825L (PA)
Cognitive & Behavioral Psychologist 103TB0200XPS007825L (PA)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1194789180

Michael William Gillum, MA's National Provider Identifier is 1194789180, issued on Apr 14, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Williamsport, PA. The record was last updated on Jan 28, 2025.