Provider Demographics
NPI:1932124765
Name:MIND-BRAIN TRAINING INSTITUTE
Entity Type:Organization
Organization Name:MIND-BRAIN TRAINING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:COREY
Authorized Official - Middle Name:C
Authorized Official - Last Name:SNOOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-279-1330
Mailing Address - Street 1:19 SKYVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-5204
Mailing Address - Country:US
Mailing Address - Phone:603-279-1330
Mailing Address - Fax:
Practice Address - Street 1:2 UNION ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4249
Practice Address - Country:US
Practice Address - Phone:603-387-5309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty