Gurk, Mitchell David

Gurk, Mitchell David is an individual health care provider with primary practice located at 16 Hastings Rd , Spencer MA 01562-1408. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Gurk, Mitchell David can be contacted via phone (508) 885-3861.

Contact Information

Primary practice address
16 Hastings Rd Spencer MA 01562-1408
Phone: (508) 885-3861
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X MAPY2497 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MAMFT807 Massachusetts

Profile Details

NPI number 1972598381
LBN Legal business name Gurk, Mitchell David
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 8th, 2007 - about 18 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 1972598381 NPPES
Massachusetts Other MA4FT807 LICENSE NUMBER
Massachusetts Other MAP42497 LICENSE NUMBER

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