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Individual

DR. AMY LAUREN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
875 MASSACHUSETTS AVE, SUITE 61, CAMBRIDGE, MA 02139-3067
(617) 388-7920
(617) 649-8846
Mailing address
852 MASSACHUSETTS AVE, APT 6, CAMBRIDGE, MA 02139-3025
(908) 377-2143

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018924
NY
103TC0700X
Clinical Psychologist
Primary
9498
MA

Other

Enumeration date
08/07/2012
Last updated
08/07/2012
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