Doctor Name: | CHRISTY MITCHELL |
NPI Number: | 1083016315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | |
Business Practice Address: | 1000 Brookhaven Dr Aiken, SC - 298032109 |
Business Phone Number: | 8036412624 |
Business Fax Number: | |
Mailing Address: | Po Box 667, DENMARK |
State: | SC |
Postal Code: | 290420667 |
Phone Number: | 8034647052 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2014 |
NPI Last Update Date: | 09/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
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 |