Doctor Name: | MS. MARILYN YOUNG MENDENHALL |
NPI Number: | 1134337884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 001536 |
Business Practice Address: | 1285 Route 9 Suite # 7 Wappingers Falls, NY - 125904993 |
Business Phone Number: | 8456322939 |
Business Fax Number: | 8456322940 |
Mailing Address: | Po Box 546, FISHKILL |
State: | NY |
Postal Code: | 125240546 |
Phone Number: | 8453501040 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 11/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 001536 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |