Individual
MR. CYRIL TOWNSEND VELKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
200 EAST ST, WILLIAMSPORT, PA 17701-6613
(570) 337-3320
Mailing address
830 FOGELMAN RD, MUNCY, PA 17756-6811
(570) 337-3320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005208L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS005208L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS005208L
LICENSED PSYCHOLOGIST
PA
Enumeration date
04/12/2007
Last updated
02/09/2016
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