Mitchell, Kerry D

Mitchell, Kerry D is an sole proprietor health care provider with primary practice located at 500 Beacon St , Chestnut Hill MA 02467-1168. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mitchell, Kerry D can be contacted via phone (617) 989-0047.

Contact Information

Primary practice address
500 Beacon St Chestnut Hill MA 02467-1168
Fax: (617) 244-6447
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 101476 Massachusetts

Profile Details

NPI number 1912005604
LBN Legal business name Mitchell, Kerry D
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
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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