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

Lycoming County Crippled Children's

Organization Clinical Neuropsychologist · NPI 1104970227

Lycoming County Crippled Children's is a Clinical Neuropsychologist in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
9

Practice location Address checks out

625 W Edwin St
Williamsport, PA 17701
Phone: (570) 326-0565
Fax: (570) 329-2522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SL000825L (PA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PS005489L (PA)
Psychologist Taxonomy 103T00000X · Licence PS005489L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS005489L (PA)
Physical Therapist Taxonomy 225100000X · Licence PT000490E (PA)
Physical Therapist Taxonomy 225100000X · Licence PT002737L (PA)
Physical Therapist Taxonomy 225100000X · Licence PT016332L (PA)
Occupational Therapist Taxonomy 225X00000X · Licence OC006418L (PA)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SL002712L (PA)

Record details

NPI number1104970227
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Perrotta — Executive Director · (570) 326-0565
Other names L.C.C.C.S Children'S Development Center
NPI enumeratedJanuary 23, 2007
Last updated in NPPESSeptember 28, 2009
Mailing address625 W Edwin St, Williamsport, PA 17701

Other providers in Williamsport