Colleen D Mitchell, Phd, Llc | |
8101 Sandy Spring Rd Suite 100f Laurel MD 20707-3596 | |
(951) 536-3682 | |
Not Available |
Full Name | Colleen D Mitchell, Phd, Llc |
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Speciality | Psychologist |
Location | 8101 Sandy Spring Rd, Laurel, Maryland |
Authorized Official Name and Position | Colleen Denise Mitchell (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 9515363682 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colleen D Mitchell, Phd, Llc 3505 Turbridge Dr Burtonsville MD 20866-2009 Ph: (951) 536-3682 | Colleen D Mitchell, Phd, Llc 8101 Sandy Spring Rd Suite 100f Laurel MD 20707-3596 Ph: (951) 536-3682 |
NPI Number | 1730547266 |
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Provider Enumeration Date | 01/28/2016 |
Last Update Date | 03/21/2016 |
Medicare PECOS PAC ID | 8022315217 |
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Medicare Enrollment ID | O20160404000708 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730547266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 05644 (Maryland) | Primary |
Provider Name | Colleen Denise Mitchell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1184751604 PECOS PAC ID: 4981882784 Enrollment ID: I20160404000866 |
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