Individual
GEORGE PUTNEY MITCHELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 E COLLEGE AVE, STE 310, STATE COLLEGE, PA 16851
(814) 238-6380
(814) 238-5923
Mailing address
PO BOX 963, LEMONT, PA 16851
(814) 238-6380
(814) 238-5923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005164L
PA
Other
Enumeration date
03/10/2006
Last updated
09/26/2011
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