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Organization

MIND OF THE ATHLETE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ABBY SPENCER (OFFICE MANAGER)
(610) 837-6616
Entity
Organization

Contact information

Practice address
3400 BATH PIKE, SUITE 302, BETHLEHEM, PA 18017-2466
(610) 867-7770
(610) 867-7778
Mailing address
3400 BATH PIKE, SUITE 302, BETHLEHEM, PA 18017-2466
(610) 867-7770
(610) 867-7778

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015497
PA

Other

Enumeration date
09/16/2006
Last updated
09/05/2013
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