| Doctor Name: | MS. ANJELETTE FAE MITCHELL |
| NPI Number: | 1013114248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | LL00003465 |
| Business Practice Address: | 11415 Ne 128th St Suite 10 Kirkland, WA - 980346314 |
| Business Phone Number: | 4257859169 |
| Business Fax Number: | 4252425969 |
| Mailing Address: | 11415 Ne 128th St, Suite 10 KIRKLAND |
| State: | WA |
| Postal Code: | 980346314 |
| Phone Number: | 4257859169 |
| Fax Number: | 4252425969 |
| NPI Enumeration Date: | 06/29/2007 |
| NPI Last Update Date: | 09/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | LL00003465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |