Organization
GEISINGER CLINIC - OUTPATIENT PSYCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6603
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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