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

Mr. Michael William Gillum, MA

Individual provider Clinical Child & Adolescent Psychologist · NPI 1194789180

Mr. Michael William Gillum, MA is a Clinical Child & Adolescent Psychologist in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

705 Washington Blvd Ste 100
Williamsport, PA 17701-5355
Phone: (570) 321-6390
Fax: (570) 321-6393
Show map & directions

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

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS007825L (PA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PS007825L (PA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PS007825L (PA)

Record details

NPI number1194789180
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

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