Organization
MINDCONNECTMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABBY IRWIN M.D. (CEO)
(570) 428-9405
Entity
Organization
Contact information
Practice address
153 VICTORIA LN, LEWISBURG, PA 17837-9219
(570) 428-9405
(877) 554-9505
Mailing address
115 FARLEY CIR, SUITE 304, LEWISBURG, PA 17837-9252
(570) 428-9405
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD453761
PA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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