Provider Demographics
NPI:1205972114
Name:MITCHELL, DOROTHY THOMPSON (LMFT)
Entity type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:THOMPSON
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROBIN LANE
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204
Mailing Address - Country:US
Mailing Address - Phone:973-919-6131
Mailing Address - Fax:609-884-4696
Practice Address - Street 1:3 ROBIN LANE
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204
Practice Address - Country:US
Practice Address - Phone:973-919-6131
Practice Address - Fax:609-884-4696
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00145300106H00000X
NJ37F100145300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist