Doctor Name: | KERSHONA E. MITCHELL |
NPI Number: | 1275955684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP, TSSLD |
License Number: | 017944 |
Business Practice Address: | 230 Anchor Way Uniondale, NY - 115531304 |
Business Phone Number: | 5165647550 |
Business Fax Number: | |
Mailing Address: | 230 Anchor Way, UNIONDALE |
State: | NY |
Postal Code: | 115531304 |
Phone Number: | 5165647550 |
Fax Number: | |
NPI Enumeration Date: | 01/20/2014 |
NPI Last Update Date: | 01/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 017944 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |