Provider Demographics
NPI:1023450756
Name:MIND DYNAMICS
Entity type:Organization
Organization Name:MIND DYNAMICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:PROF
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:GURSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-993-6333
Mailing Address - Street 1:34 S BROADWAY STE 607
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-4428
Mailing Address - Country:US
Mailing Address - Phone:914-993-6333
Mailing Address - Fax:914-993-6334
Practice Address - Street 1:34 S BROADWAY STE 607
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-4428
Practice Address - Country:US
Practice Address - Phone:914-993-6333
Practice Address - Fax:914-993-6334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty