Individual
MS. GWENDOLYN PEHL MINNIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1 GREYSTONE RD, CARLISLE, PA 17013-2660
(717) 245-9255
(717) 245-9198
Mailing address
200 NORTH 7TH STREET, LEBANON, PA 17046
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
006810L
PA
Other
Enumeration date
07/20/2005
Last updated
07/08/2007
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