| Dr. Danielle M. Mink | |
|
8638 Route 104 Suite 10 Mount Pleasant Mills PA 17853-8752 | |
| (717) 856-0220 | |
| (717) 685-3242 |
| Full Name | Dr. Danielle M. Mink |
|---|---|
| Speciality | Psychologist |
| Location | 8638 Route 104, Mount Pleasant Mills, Pennsylvania |
| Authorized Official Name and Position | Danielle Marie Mink (PRESIDENT) |
| Authorized Official Contact | 7178560220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Danielle M. Mink 560 Kellerville Rd Mc Alisterville PA 17049-8580 Ph: (717) 856-0220 | Dr. Danielle M. Mink 8638 Route 104 Suite 10 Mount Pleasant Mills PA 17853-8752 Ph: (717) 856-0220 |
| NPI Number | 1376902486 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 0345547097 |
|---|---|
| Medicare Enrollment ID | O20160324000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376902486 | NPI | - | NPPES |
| 293713 | Other | PA | CMS PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016911 (Pennsylvania) | Primary |
| Provider Name | Danielle M Mink |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376588475 PECOS PAC ID: 2567603871 Enrollment ID: I20130730000334 |
| Provider Name | Meri A Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467969584 PECOS PAC ID: 2163784422 Enrollment ID: I20180326001765 |