Bethany Rose Mink, LMFT, PSYD is a
Psychologist - Clinical based in San Diego, California. Bethany Rose Mink is licensed to practice in California (license number 30519) and her current practice location is
4060 Fairmount Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at
(619) 606-0296.
NPI number for Bethany Rose Mink is 1720388374 and her current mailing address is 1045 9th Ave, San Diego, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720388374.
Healthcare Provider's Profile
Full Name | Bethany Rose Mink |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 4060 Fairmount Ave, San Diego, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720388374
- Provider Enumeration Date: 10/29/2010
- Last Update Date: 03/08/2019
Medical Identifiers
Medical identifiers for Bethany Rose Mink such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720388374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 79616 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 30519 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bethany Rose Mink is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bethany Rose Mink, LMFT, PSYD 1045 9th Ave, San Diego, CA 92101-5504 Ph: (248) 830-0303 | Bethany Rose Mink, LMFT, PSYD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 606-0296 |
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