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Contact Information

MIND AND BODY MEDICINE LLC
28 SAINT MORITZ LN
CHERRY HILL, NJ08003-5122
 Phone: 732-659-1051
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Integrative Medicine

202D00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MIND AND BODY MEDICINE LLC · (Female)

NPI Number 1790678753
Status Active
Credentials
Entity Individual
Enumeration date 05/29/2025
Last updated 05/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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