Mitchell, Barry A.
Mitchell, Barry A. is an sole proprietor health care provider with primary practice located at 743 Northfield Ave Suite #3, West Orange NJ 07052-1107. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mitchell, Barry A. can be contacted via phone (973) 736-3042.Contact Information
Primary practice address
743 Northfield Ave Suite #3
West Orange NJ 07052-1107
Phone: (973) 736-3042
Fax: (908) 889-9370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | SI1706 | New Jersey |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 006708 | New York |
Profile Details
| NPI number | 1396843983 |
|---|---|
| LBN Legal business name | Mitchell, Barry A. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Dec 20th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396843983 | NPPES |
| New Jersey | MEDICAID | 1826301 |
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