Doctor Name: | MRS. MANDY K MYERS |
NPI Number: | 1972556116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW LSW |
License Number: | SW122920 |
Business Practice Address: | 727 Welsh Road Suite 202 Philmont Guidance Center Huntingdon Vy, PA - 190066357 |
Business Phone Number: | 2156996189 |
Business Fax Number: | 2159141663 |
Mailing Address: | 727 Welsh Road, Suite 202 Philmont Guidance Center HUNTINGDON VY |
State: | PA |
Postal Code: | 190066357 |
Phone Number: | 2156996189 |
Fax Number: | 2159141663 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | SW122920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |