Individual
DR. MICHAEL J CAWLEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
113 CHERRY RIDGE RD, STATE COLLEGE, PA 16803-3309
(814) 234-9699
Mailing address
113 CHERRY RIDGE RD, STATE COLLEGE, PA 16803-3309
(814) 234-9699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009183L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017982050002
—
PA
Enumeration date
07/12/2006
Last updated
07/08/2007
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