Doctor Name: | MRS. ELIZABETH MARIE MITCHELL |
NPI Number: | 1033363882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | |
Business Practice Address: | 22 Newport Dr Forest Hill, MD - 210501642 |
Business Phone Number: | 4437521617 |
Business Fax Number: | 4107272186 |
Mailing Address: | 1931 Medallion Ct, FOREST HILL |
State: | MD |
Postal Code: | 210502761 |
Phone Number: | 4106522481 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2008 |
NPI Last Update Date: | 11/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |