Doctor Name: | MRS. DENISE M MITCHELL |
NPI Number: | 1215086830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-S |
License Number: | 0210 |
Business Practice Address: | 1 Court St Suite 360 Lebanon, NH - 037661358 |
Business Phone Number: | 6034485218 |
Business Fax Number: | 6034485219 |
Mailing Address: | 1 Court St, Suite 360 LEBANON |
State: | NH |
Postal Code: | 037661358 |
Phone Number: | 6034485218 |
Fax Number: | 6034485219 |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0210 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
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 |