Berdie, Mitchell

Berdie, Mitchell is an sole proprietor health care provider with primary practice located at 1653 Montane Dr E , Golden CO 80401-8094. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Berdie, Mitchell can be contacted via phone (303) 358-0073.

Contact Information

Primary practice address
1653 Montane Dr E Golden CO 80401-8094
Phone: (303) 358-0073
Fax: (720) 316-6620
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 845 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X 845 Colorado

Profile Details

NPI number 1851458442
LBN Legal business name Berdie, Mitchell
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851458442 NPPES
Colorado MEDICAID 7103153

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