DR. MICHAEL S. DRISCOLL PH.D.
Clinical Neuropsychologist
Danville, Pennsylvania
Provider NPI: 1518933548
Provider Information:DR. MICHAEL S. DRISCOLL PH.D.
Gender: M
Not Sole Proprietor
Practice Location:
100 N ACADEMY AVE DANVILLE, PA 17822 US
Tel: 570-271-6472 Fax: 570-271-5874
Business Mailing Address:
100 N ACADEMY AVE CREDENTIALS DEPT DANVILLE, PA 17822 US
Tel: 570-271-6144 Fax: --
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | PA | PS015336 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0019375050001 | PA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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