Provider Demographics
NPI:1013346840
Name:THE PSYCHOLOGY AND MINDFULNESS CENTER, PLLC
Entity type:Organization
Organization Name:THE PSYCHOLOGY AND MINDFULNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AIMEE
Authorized Official - Middle Name:E
Authorized Official - Last Name:TODD
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:717-466-6565
Mailing Address - Street 1:446 N READING RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-9802
Mailing Address - Country:US
Mailing Address - Phone:717-466-6565
Mailing Address - Fax:
Practice Address - Street 1:446 N READING RD
Practice Address - Street 2:SUITE 204
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-9802
Practice Address - Country:US
Practice Address - Phone:717-466-6565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016285103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty