Individual
GARY CHAMPLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2032 LINCOLN CT, WYOMISSING, PA 19610-2656
(610) 777-5459
(610) 777-2415
Mailing address
2032 LINCOLN CT, WYOMISSING, PA 19610-2656
(610) 777-5459
(610) 777-2415
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-002800-L
PA
Other
Enumeration date
02/15/2007
Last updated
02/27/2008
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