Individual
DR. MITCHELL DAVID GURK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
16 HASTINGS RD, SPENCER, MA 01562-1408
(508) 885-3861
Mailing address
16 HASTINGS RD, SPENCER, MA 01562-1408
(508) 885-3861
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
MAPY2497
MA
106H00000X
Marriage & Family Therapist
Primary
MAMFT807
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA4FT807
LICENSE NUMBER
MA
01
—
MAP42497
LICENSE NUMBER
MA
Enumeration date
09/13/2005
Last updated
09/11/2025
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