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Provider Information for 1700324290


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Mr. ARYEH L MINKIN LMFT


Sex: Male

NPI: 1700324290
Last Updated: 2023-02-28
Certification Date: 2023-02-28

Details

NameValue
NPI1700324290
Enumeration Date2017-02-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 11819 PEPPERDINE LN
HOUSTON, TX 77071-2624
United States

Phone: 732-690-9165 | Fax:
 
Primary Practice Address 11819 PEPPERDINE LN
HOUSTON, TX 77071-2624
United States

Phone: 732-690-9165 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 106H00000X - Marriage & Family Therapist NY0
No 106H00000X - Marriage & Family Therapist NY001512
No 106H00000X - Marriage & Family Therapist FLTPMF735
Yes 106H00000X - Marriage & Family Therapist TX204087