Organization
MENTA PSYCHOLOGICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN MENTA PSYD (OWNER)
(724) 422-0593
Entity
Organization
Contact information
Practice address
520 PHILADELPHIA ST # 10, INDIANA, PA 15701-3902
(724) 422-0593
(973) 629-1694
Mailing address
520 PHILADELPHIA ST # 10, INDIANA, PA 15701-3902
(724) 422-0593
(973) 629-1694
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
02/08/2019
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