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Individual

DR. COLLEEN DENISE MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
8101 SANDY SPRING RD, SUITE 100F, LAUREL, MD 20707-3596
(951) 536-3682
Mailing address
3505 TURBRIDGE DR, BURTONSVILLE, MD 20866-2009
(301) 890-0214
(301) 890-0214

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05644
MD
103TC0700X
Clinical Psychologist
P0000002884
TN

Other

Enumeration date
02/28/2007
Last updated
02/01/2016
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