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Individual

DR. PATRICK VINCENT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
Mailing address
2401 OLIVE ST, PHILADELPHIA, PA 19130-2523
(610) 764-5920

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017681
PA
103TR0400X
Rehabilitation Psychologist

Other

Enumeration date
09/12/2013
Last updated
03/30/2020
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