Gallick, Michael Thomas

Gallick, Michael Thomas is an individual health care provider with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Gallick, Michael Thomas can be contacted via phone (570) 320-7525.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Phone: (570) 320-7525
Fax: (570) 320-7484
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MF000132 Pennsylvania

Profile Details

NPI number 1578525887
LBN Legal business name Gallick, Michael Thomas
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Feb 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578525887 NPPES
Pennsylvania Other 817809 FIRST PRIORITY HEALTH
Pennsylvania MEDICAID 1020092310001 FIRST PRIORITY HEALTH

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