| Mind Flex Llc | |
|
254 Radcliffe St 3rd Floor Bristol PA 19007-5014 | |
| (610) 812-4730 | |
| Not Available |
| Full Name | Mind Flex Llc |
|---|---|
| Speciality | Psychologist |
| Location | 254 Radcliffe St, Bristol, Pennsylvania |
| Authorized Official Name and Position | Lee Anthony Picariello (EXECUTIVE DIRECTOR/PSYCHOLOGIST) |
| Authorized Official Contact | 6108124571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Flex Llc 254 Radcliffe St 3rd Floor Bristol PA 19007-5014 Ph: (610) 812-4730 | Mind Flex Llc 254 Radcliffe St 3rd Floor Bristol PA 19007-5014 Ph: (610) 812-4730 |
| NPI Number | 1881921500 |
|---|---|
| Provider Enumeration Date | 11/17/2009 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881921500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS01634 (Pennsylvania) | Primary |
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