Healthcare Provider Details
I. General information
NPI: 1104600840
Provider Name (Legal Business Name): SKIN MIND HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/23/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
549 MERCHANT ST
AMBRIDGE PA
15003-2464
US
IV. Provider business mailing address
509 GLEN MITCHELL RD
SEWICKLEY PA
15143-2017
US
V. Phone/Fax
- Phone: 412-550-0595
- Fax: 412-228-3828
- Phone: 848-702-2843
- Fax: 412-228-3828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207N00000X |
| Taxonomy | Dermatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALAINA
J
JAMES
Title or Position: PHYSICIAN
Credential: MD, PHD
Phone: 848-702-2843