Lycoming-Clinton Mhmr Program
NPI 1770636573ActiveOrganization· Psychologist· Williamsport, PA
Psychologist in Williamsport, Pennsylvania, registered in NPPES in January 2007. The authorized official on file is Doborah M. Duffy, Administrator.
Overview
| NPI | 1770636573 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 18, 2007 |
| Last updated in NPPES | Dec 22, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS004649L | PA |
| Case Manager/Care Coordinator | 171M00000X | — | — |
| Case Management | 251B00000X | — | — |
| Nursing Care | 251J00000X | — | — |
| Public Health or Welfare | 251K00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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