Individual
ROBERT MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1059 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 394-4473
Mailing address
1059 ALAMEDA DE LAS PULGAS, BELMONT, CA 94002-3507
(650) 394-4473
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY23699
CA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PSY23699
CA
103TB0200X
Cognitive & Behavioral Psychologist
PSY23699
CA
103TC1900X
Counseling Psychologist
Primary
PSY23699
CA
Other
Enumeration date
05/23/2007
Last updated
12/12/2013
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