Individual
DR. BARRY A. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
743 NORTHFIELD AVE, SUITE #3, WEST ORANGE, NJ 07052-1107
(973) 736-3042
(908) 889-9370
Mailing address
743 NORTHFIELD AVE, SUITE #3, WEST ORANGE, NJ 07052-1107
(973) 736-3042
(908) 889-9370
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
006708
NY
103T00000X
Psychologist
Primary
SI1706
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1826301
—
NJ
Enumeration date
09/20/2006
Last updated
12/20/2010
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