Mitchell, Richard S.

Mitchell, Richard S. is an sole proprietor health care provider with primary practice located at 15 Shirley Avenue , Dennis Port MA 02639-5590. He recently has 10 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Mitchell, Richard S. can be contacted via phone (508) 394-8677.

Contact Information

Primary practice address
15 Shirley Avenue Dennis Port MA 02639-5590
Fax: (508) 394-1180
Website:

Profile Details

NPI number 1477551547
LBN Legal business name Mitchell, Richard S.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2005
Last updated Apr 8th, 2024 - about 7 months 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 1477551547 NPPES
Massachusetts MEDICAID 0504793

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