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Contact Information

LYCOMING-CLINTON MHMR PROGRAM
200 EAST STREET
THE SHARWELL BUILDING
WILLIAMSPORT, PA17701
 Phone: 570-326-0924
 Fax: 570-326-1348
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Case Management

251B00000X
 

Case Manager/Care Coordinator

171M00000X
 

Community/Behavioral Health

251S00000X
 

Nursing Care

251J00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
Indicates primary specialty

NPI Profile & details for LYCOMING CLINTON MHMR PROGRAM · (Female)

NPI Number 1770636573
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2007
Last updated 12/22/2015 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PS004649L
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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