Individual
DR. MICHAEL S. DRISCOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1405
(570) 271-6472
(570) 271-5874
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS015336
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019375050001
—
PA
Enumeration date
02/28/2006
Last updated
11/18/2011
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