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Organization

COLLEEN D MITCHELL, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. COLLEEN DENISE MITCHELL PHD (LICENSED CLINICAL PSYCHOLOGIST)
(951) 536-3682
Entity
Organization

Contact information

Practice address
8101 SANDY SPRING RD, SUITE 100F, LAUREL, MD 20707-3596
(951) 536-3682
Mailing address
3505 TURBRIDGE DR, BURTONSVILLE, MD 20866-2009
(951) 536-3682
(301) 890-0214

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
05644
MD

Other

Enumeration date
01/28/2016
Last updated
03/21/2016
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