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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396843983 NPPES
New Jersey MEDICAID 1826301

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