Organization Name: | MIND DYNAMICS |
NPI Number: | 1023450756 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIANE GURSEL (MANAGING MEMBER) |
Mailing Address: | 34 S Broadway Ste 607 White Plains |
State: | NY US |
Postal Code: | 106014428 |
Phone Number: | 9149936333 |
Fax Number: | 9149936334 |
NPI Enumeration Date: | 07/23/2013 |
NPI Last Update Date: | 09/03/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |