Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lycoming-Clinton Mhmr Program

Organization Psychologist · NPI 1770636573

Lycoming-Clinton Mhmr Program is a Psychologist in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
6
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Practice location Address checks out

200 E Street The Sharwell Bldg
Williamsport, PA 17701
Phone: (570) 326-0924
Fax: (570) 326-1348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS004649L (PA)
Case Manager/Care Coordinator Taxonomy 171M00000X
Case Management Agency Taxonomy 251B00000X
Nursing Care Agency Taxonomy 251J00000X
Public Health or Welfare Agency Taxonomy 251K00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1770636573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doborah Duffy — Administrator · (570) 326-7895
Other names Lycoming-Clinton Joinder Board
NPI enumeratedJanuary 18, 2007
Last updated in NPPESDecember 22, 2015
Mailing address200 East Street, The Sharwell Building, Williamsport, PA 17701

Other providers in Williamsport