Individual
SAMUEL A FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-8255
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019183
PA
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
04/23/2018
Last updated
12/23/2020
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