Mitchell, Ronald A
Mitchell, Ronald A is an individual health care provider with primary practice located at 2003 Lincoln Dr W Suite A, Marlton NJ 08053-1529. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mitchell, Ronald A can be contacted via phone (856) 751-8700.Contact Information
Primary practice address
2003 Lincoln Dr W Suite A
Marlton NJ 08053-1529
Phone: (856) 751-8700
Fax: (856) 751-3520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35S100298900 | New Jersey |
Profile Details
| NPI number | 1487799631 |
|---|---|
| LBN Legal business name | Mitchell, Ronald A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jan 19th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487799631 | NPPES |
| New Jersey | MEDICAID | 1256665 |
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