Organization
WYOMISSING BEHAVIOR ANALYSTS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY D CHAMPLIN PH.D. (CLINICAL DIRECTOR)
(610) 777-5459
Entity
Organization
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
10/01/2005
Last updated
02/16/2008
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