Doctor Name: | AMY BURNS MITCHELL |
NPI Number: | 1275600728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 594 |
Business Practice Address: | 1707 Center St Suite 201 Mobile, AL - 366043307 |
Business Phone Number: | 2514158577 |
Business Fax Number: | 2514158578 |
Mailing Address: | Po Box 40480, MOBILE |
State: | AL |
Postal Code: | 366400480 |
Phone Number: | 2514158577 |
Fax Number: | 2514158578 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 05/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 594 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |