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Organization
MINDWELL PSYCHOLOGY, LLP
Active
Organization
MINDWELL PSYCHOLOGY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON RAKOW PHD (EXECUTIVE DIRECTOR)
(802) 578-4379
Entity
Organization
Contact information
Practice address
950 DANBY RD STE 202F, ITHACA, NY 14850-5714
(802) 578-4379
Mailing address
950 DANBY RD STE 202, ITHACA, NY 14850-5714
(607) 260-3100
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/31/2022
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