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RICHARD S. MITCHELL PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1477551547

Individual Registrant:
 RICHARD S. MITCHELL PH.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
15 SHIRLEY AVENUE  DENNIS PORT, MA 02639-5590 US
Tel: 508-394-8677  Fax: 508-394-1180

Contact information for business:
PO BOX 1590  DENNIS PORT, MA 02639-5590 US
Tel: 508-394-8677  Fax: 508-394-1180

Registration Information:
NPI: 1477551547
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103T00000XBehavioral Health & Social Service Providers
Psychologist
MA396
X103TA0400XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103TA0700XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103TB0200XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103TC0700XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103TC1900XBehavioral Health & Social Service Providers
Psychologist
MA396
X103TC2200XBehavioral Health & Social Service Providers
Psychologist
MA00396
X103TF0000XBehavioral Health & Social Service Providers
Psychologist
MA396
X103TH0100XBehavioral Health & Social Service Providers
Psychologist
MA396
X103TM1800XBehavioral Health & Social Service Providers
Psychologist
MA396

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0504793MA05




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