MENTORS RESOURCE & DEVELOPMENT CORP


Address: Rr H2 Box 1016c, Emery Rd, Dingmans Ferry, PA 18328
Phone: 8453440392

MENTORS RESOURCE & DEVELOPMENT CORP (NPI# 1629106547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629106547
Entity Type Organization
Organization Name MENTORS RESOURCE & DEVELOPMENT CORP
Practice Address Rr H2 Box 1016c
Emery Rd
Dingmans Ferry
PA 18328
Mailing Address Rr #2 Box 1016c
Emery Rd
Dingmans Ferry
PA 18328
Practice Telephone 8453440392
Practice Fax Number 8453440392
Mailing Telephone 8453440392
Mailing Fax Number 8453440392
Enumeration Date 2007-03-01
Last Update Date 2011-11-09
Authorized Official Name DR. JAY HERMAN JOERGER (PRES)
Authorized Official Telephone 8453440392
Authorized Official Credential EDD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC1900X Psychologist
Specialization: Counseling
95311 NY Behavioral Health & Social Service Providers
Y 103TC1900X Psychologist
Specialization: Counseling
PS009154L PA Behavioral Health & Social Service Providers

Office Location

Street Address RR H2 BOX 1016C
EMERY RD
City DINGMANS FERRY
State PA
Zip Code 18328

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NPI Name Taxonomy Address Enumeration
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1124435201 Jennifer Smetana Social Worker 1869 Route 739, Suite 4, Dingmans Ferry, PA 18328-3409 2014-07-21
1235250572 Kathleen Maura Donson Social Worker 1869 Suite 1 Route 739, Dingmans Ferry, PA 18328-3409 2007-04-03
1487799540 James Patrick Carey Social Worker 1869 Route 739 Ste 2, Dingmans Ferry, PA 18328-3409 2007-02-20
1124540380 Cornerstone Counseling Social Worker 1869 Route 739, Suite 4, Dingmans Ferry, PA 18328-3409 2017-07-10
1821537192 Lisa Haniuk Social Worker 1869 Route 739, Dingmans Ferry, PA 18328-3409 2017-02-19
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City DINGMANS FERRY
Zip Code 18328

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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