Individual
MR. GERALD SKILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2163
Mailing address
111 ELWYN RD, ELWYN, PA 19063-4622
(610) 891-2163
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS003694L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PS003694L
—
PA
Enumeration date
03/21/2007
Last updated
07/09/2007
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