Mindconnectmd Llc | |
153 Victoria Ln Lewisburg PA 17837-9219 | |
(570) 428-9405 | |
(877) 554-9505 |
Full Name | Mindconnectmd Llc |
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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 |
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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 |
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Provider Enumeration Date | 06/10/2016 |
Last Update Date | 06/10/2016 |
Identifier | Type | State | Issuer |
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1134578180 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | MD453761 (Pennsylvania) | Primary |
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Michael R. Gildea Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 88 N Bull Run Xing, Suite 6, Lewisburg, PA 17837 Phone: 570-522-8330 | |
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Kathleen Bergeson, Phd P C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Reitz Blvd, Suite 101, Lewisburg, PA 17837 Phone: 570-524-0881 Fax: 570-524-9738 | |