Individual
DR. JOSEPH MATTHEW MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2103 E WASHINGTON ST STE 1D, BLOOMINGTON, IL 61701-4310
(773) 245-6704
Mailing address
129 CROSSING DR, NORMAL, IL 61761-4780
(773) 891-6135
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
6301017411
MI
103TC0700X
Clinical Psychologist
Primary
071.010644
IL
Other
Enumeration date
04/26/2018
Last updated
02/28/2024
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