| Mindconnectmd Llc | |
|
153 Victoria Ln Lewisburg PA 17837-9219 | |
| (570) 428-9405 | |
| (877) 554-9505 |
| Full Name | Mindconnectmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 153 Victoria Ln, Lewisburg, Pennsylvania |
| Authorized Official Name and Position | Abby Irwin (CEO) |
| Authorized Official Contact | 5704289405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindconnectmd Llc 115 Farley Cir Suite 304 Lewisburg PA 17837-9252 Ph: (570) 428-9405 | Mindconnectmd Llc 153 Victoria Ln Lewisburg PA 17837-9219 Ph: (570) 428-9405 |
| NPI Number | 1134578180 |
|---|---|
| Provider Enumeration Date | 06/10/2016 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134578180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD453761 (Pennsylvania) | Primary |
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