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Contact Information

SAMUEL A FAULKNER
100 N ACADEMY AVE
DANVILLE, PA17822-9800
 Phone: 570-271-8255
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SAMUEL A FAULKNER · (Male)

NPI Number 1417444746
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2018
Last updated 12/23/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PS019183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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