Mutchler, Brian

Mutchler, Brian is an individual health care provider with primary practice located at 1201 Broad Rock Blvd Vamc / Mental Health Service Line, Richmond VA 23249-0001. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Mutchler, Brian can be contacted via phone (804) 675-5000.

Contact Information

Primary practice address
1201 Broad Rock Blvd Vamc / Mental Health Service Line Richmond VA 23249-0001
Phone: (804) 675-5000
Fax: (804) 675-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810002766 Virginia

Profile Details

NPI number 1235184250
LBN Legal business name Mutchler, Brian
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235184250 NPPES
Virginia Other 0810002766 STATE LICENSE TO PRACTICE

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