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Organization

MIND FLEX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE ANTHONY PICARIELLO PSY.D (EXECUTIVE DIRECTOR/PSYCHOLOGIST)
(610) 812-4571
Entity
Organization

Contact information

Practice address
254 RADCLIFFE ST, 3RD FLOOR, BRISTOL, PA 19007-5014
(610) 812-4730
Mailing address
254 RADCLIFFE ST, 3RD FLOOR, BRISTOL, PA 19007-5014
(610) 812-4730

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS01634
PA

Other

Enumeration date
11/17/2009
Last updated
11/17/2009
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