Male or Other

Richard S. Mitchell PH.D.

Cognitive & Behavioral Psychologist in Dennis Port, MA(View on Map)

Full Name

Richard S. Mitchell PH.D.

NPI Number

1477551547

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/12/2005

Licenses

State

Massachusetts
Massachusetts

License Number

00396
396

Contact
Information

Purpose

Mailing
Location

Address

15 SHIRLEY AVE
15 SHIRLEY AVENUE

City

Dennis Port
Dennis Port

State

MA
MA

Postal Code

02639-2443
02639-5590

Country

US
US

Telephone Number

(508) 394-8677
(508) 394-8677

Identifiers

Identifier

0504793

Identifier State

MA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/08/2024

Provider Address

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