Individual
DR. ROBERT JAMES MITTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7316 OXFORD BLUFF DR, STANLEY, NC 28164-6813
(704) 966-0246
Mailing address
7316 OXFORD BLUFF DR, STANLEY, NC 28164-6813
(704) 966-0246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1433
NC
103T00000X
Psychologist
PF7768
CA
Other
Enumeration date
12/24/2010
Last updated
12/24/2010
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