Individual
DR. BLAKE P MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
17103 PRESTON RD, SUITE 288, DALLAS, TX 75248-1332
(214) 629-1389
(972) 250-0943
Mailing address
10311 ASHEBORO ST, FRISCO, TX 75035-7025
(972) 689-2712
(972) 250-0943
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32836
TX
Other
Enumeration date
12/16/2005
Last updated
12/11/2007
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