Provider Demographics
NPI:1093833022
Name:MENSCH, ABRAHAM JOSEF (PHD)
Entity Type:Individual
Prefix:DR
First Name:ABRAHAM
Middle Name:JOSEF
Last Name:MENSCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 CHAPMAN ROAD, SUITE 100 E
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5490
Mailing Address - Country:US
Mailing Address - Phone:302-292-1914
Mailing Address - Fax:302-999-9589
Practice Address - Street 1:260 CHAPMAN RD
Practice Address - Street 2:SUITE 100 E
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-5490
Practice Address - Country:US
Practice Address - Phone:302-292-1914
Practice Address - Fax:302-999-9589
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEB1-0000245103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist