Provider Demographics
NPI:1780999649
Name:MINDFUL EXPOSURE THERAPY FOR ANXIETY AND PSYCHOLOGICAL WELLNESS CENTER
Entity type:Organization
Organization Name:MINDFUL EXPOSURE THERAPY FOR ANXIETY AND PSYCHOLOGICAL WELLNESS CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLNAR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-287-8347
Mailing Address - Street 1:1800 HORACE AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3808
Mailing Address - Country:US
Mailing Address - Phone:717-602-6202
Mailing Address - Fax:
Practice Address - Street 1:1800 HORACE AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-3808
Practice Address - Country:US
Practice Address - Phone:717-602-6202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1871785980OtherNPPES INDIVIDUAL NPI