| Richard Mitchell | |
|
15 Raptor Ridge Dr Clancy MT 59634-8545 | |
| (406) 616-6503 | |
| (800) 480-7615 |
| Full Name | Richard Mitchell |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 15 Raptor Ridge Dr, Clancy, Montana |
| Authorized Official Name and Position | Richard Edmund Mitchell (PSYCHIATRIST/CEO) |
| Authorized Official Contact | 4066166503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Mitchell 15 Raptor Ridge Dr Clancy MT 59634-8545 Ph: (406) 616-6503 | Richard Mitchell 15 Raptor Ridge Dr Clancy MT 59634-8545 Ph: (406) 616-6503 |
| NPI Number | 1720825201 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/13/2024 |
| Certification Date | 07/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720825201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |