Individual
DR. CAROLYN MENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
850 HOSPITAL RD, SUITE 2200, MEDICAL ARTS BLDG, INDIANA, PA 15701-3662
(724) 464-0270
(724) 464-0274
Mailing address
640 KOLTER DR, INDIANA, PA 15701-3570
(724) 357-7196
(724) 357-7279
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSO15068
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NE1364972
BS#
—
Enumeration date
07/19/2005
Last updated
05/10/2021
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