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Organization
MYND GROUP LLC
Active
Organization
MYND GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON BURDGE PH.D (OWNER)
(425) 753-1836
Entity
Organization
Contact information
Practice address
1066 VIEW RIDGE DR, OAK HARBOR, WA 98277-8265
(425) 753-1836
Mailing address
1066 VIEW RIDGE DR, OAK HARBOR, WA 98277-8265
(425) 753-1836
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
NULL
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
NULL
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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