# GANIM PSYCHOLOGY AND BEHAVIORAL HEALTH, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629615810
- **Authorized official:** MENDY LYNN VIEL GANIM PSYD (PSYCHOLOGIST)
- **Authorized official phone:** (610) 350-6092

## Contact information

- **Practice address:** 80 WEST WELSH POOL ROAD, SUITE 204 SOUTH, EXTON, PA 19341-1233
- **Practice address phone:** (610) 350-6092
- **Mailing address:** 30 S VALLEY RD STE 123B, PAOLI, PA 19301-1469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 12/06/2019
- **Last updated:** 01/17/2020