Individual
RICHARD S. MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
00396
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
00396
MA
103TA0700X
Adult Development & Aging Psychologist
00396
MA
103TB0200X
Cognitive & Behavioral Psychologist
Primary
00396
MA
103TC0700X
Clinical Psychologist
00396
MA
103TC1900X
Counseling Psychologist
396
MA
103TC2200X
Clinical Child & Adolescent Psychologist
00396
MA
103TF0000X
Family Psychologist
396
MA
103TH0100X
Health Service Psychologist
396
MA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0504793
—
MA
Enumeration date
07/12/2005
Last updated
04/08/2024
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