Doctor Name: | JENNIFER MITCHELL |
NPI Number: | 1023415858 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SCHOOL PSYCHOLOGIST |
License Number: | |
Business Practice Address: | 7762 Whitehall Cir E West Chester, OH - 450691113 |
Business Phone Number: | 5137599665 |
Business Fax Number: | |
Mailing Address: | 4462 Whitehall Cir E, WEST CHESTER |
State: | OH |
Postal Code: | 45069 |
Phone Number: | 5137599665 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2014 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |