Provider Demographics
NPI:1265736458
Name:MITCHELL, PATRICK GERARD (PSYD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:GERARD
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:PSYD
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Other - Credentials:
Mailing Address - Street 1:7988 OLD GEORGETOWN RD
Mailing Address - Street 2:OLD GEORGETOWN OFFICE PARK, 8A
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2481
Mailing Address - Country:US
Mailing Address - Phone:301-718-4544
Mailing Address - Fax:301-718-4545
Practice Address - Street 1:7988 OLD GEORGETOWN RD
Practice Address - Street 2:OLD GEORGETOWN OFFICE PARK, 8A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2481
Practice Address - Country:US
Practice Address - Phone:301-718-4544
Practice Address - Fax:301-718-4545
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-02
Last Update Date:2011-01-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD04906103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical