| Doctor Name: | MR. MICHAEL DITCHFIELD |
| NPI Number: | 1306051586 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW.,LICSW |
| License Number: | 1024544 |
| Business Practice Address: | Rr 1 Box 354 76 Chase Rd Edgartown, MA - 025399729 |
| Business Phone Number: | 5086277348 |
| Business Fax Number: | |
| Mailing Address: | Rr 1 Box 354, 76 Chase Rd EDGARTOWN |
| State: | MA |
| Postal Code: | 025399729 |
| Phone Number: | 5086277348 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1024544 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |