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NPI Code Detail

MEDICARE: MINDI BETH MUSSELMAN MA

MEDICARE: MINDI BETH MUSSELMAN MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2104100000XSocial WorkerBP00946980WV

General Provider Information

NPI Number : 1295268340
Entity Type Code : Individual
Provider Name (Legal Business Name) : MINDI BETH MUSSELMAN MA
Provider Business Mailing Address
First Line : 11 ROBINSON ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19464-6421
Country : US
Telephone Number : 484-941-0500
Fax Number :
Provider Business Practice Location Address
First Line : 400 FOXCROFT AVE STE 104
Second Line :
City : MARTINSBURG
State : WV
Zip : 25401-5302
Country : US
Telephone Number : 304-513-3495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 03/30/2025

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Directions to “ MINDI BETH MUSSELMAN MA” Practice Location

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