Individual
PROF. WILLIAM F FLACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1 DENT DR, LEWISBURG, PA 17837-2029
(570) 577-1131
Mailing address
1 DENT DR, LEWISBURG, PA 17837-2029
(570) 577-1131
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7070-PY-PR
MA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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