| Doctor Name: | ROBERT MITCHELL |
| NPI Number: | 1003026303 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PSY23699 |
| Business Practice Address: | 1059 Alameda De Las Pulgas Belmont, CA - 940023507 |
| Business Phone Number: | 6503944473 |
| Business Fax Number: | |
| Mailing Address: | 1059 Alameda De Las Pulgas, BELMONT |
| State: | CA |
| Postal Code: | 940023507 |
| Phone Number: | 6503944473 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 12/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TA0400X |
| License Number: | PSY23699 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |