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NPI Code Detail

MEDICARE: OPEN MINDS PSYCHOLOGICAL, PLLC

MEDICARE: OPEN MINDS PSYCHOLOGICAL, PLLC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1851285811
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN MINDS PSYCHOLOGICAL, PLLC
Provider Business Mailing Address
First Line : 100 W GERMANTOWN PIKE
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1417
Country : US
Telephone Number : 484-535-3778
Fax Number :
Provider Business Practice Location Address
First Line : 100 W GERMANTOWN PIKE
Second Line :
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1417
Country : US
Telephone Number : 484-535-3778
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BRIANNA MATEY
Credential : PSY. D.
Telephone Number : 484-535-3778
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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Directions to “OPEN MINDS PSYCHOLOGICAL, PLLC ” Practice Location

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