Doctor Name: | DR. PAMELA R MITCHELL |
NPI Number: | 1184830770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.C.C. SLP |
License Number: | SP2093 |
Business Practice Address: | 1675 E Main #247 Kent, OH - 442405818 |
Business Phone Number: | 3304741649 |
Business Fax Number: | |
Mailing Address: | 1675 E Main, #247 KENT |
State: | OH |
Postal Code: | 442405818 |
Phone Number: | 3304741649 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP2093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |