Individual
WALTER A. MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
103 MYRON ST, SUITE A, WEST SPRINGFIELD, MA 01089-1598
(413) 592-1980
(413) 439-0100
Mailing address
602 MAIN ST, WILBRAHAM, MA 01095-1611
(413) 250-5250
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3367
MA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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