Individual
DR. RICHARD EDMUND MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MED-PHYS-LIC-67970
MT
Other
Enumeration date
06/05/2012
Last updated
07/15/2024
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