Organization
BANYAN TREE MENTAL HEALTH & WELLNESS LLC
Active
Organization
BANYAN TREE MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BRAUN PSYD (MANAGER)
(724) 241-3477
Entity
Organization
Contact information
Practice address
3000 VILLAGE RUN RD # 103-347, WEXFORD, PA 15090-6315
(724) 241-3477
Mailing address
3000 VILLAGE RUN RD # 103-347, WEXFORD, PA 15090-6315
(724) 241-3477
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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