Individual
DR. MICHAEL ALLAN CHURCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
562 WYOMING AVE, NESBITT HOSPITAL, KINGSTON, PA 18704-3721
(570) 552-3891
Mailing address
562 WYOMING AVE, NESBITT HOSPITAL, KINGSTON, PA 18704-3721
(570) 552-3891
(570) 552-3891
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
003386
PA
Other
Enumeration date
08/09/2005
Last updated
07/08/2007
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