Individual
MS. SHIRLEY BAILEY WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
204 PENN ST, NORTHUMBERLAND, PA 17857-8406
(570) 473-7516
Mailing address
204 PENN ST, NORTHUMBERLAND, PA 17857-8406
(570) 473-7516
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007734L
PA
Other
Enumeration date
09/28/2006
Last updated
05/14/2008
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