| Doctor Name: | DR. CYNTHIA GAIL MITCHELL |
| NPI Number: | 1407812225 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 19946 |
| Business Practice Address: | 1021 1st St Suite 5 Benicia, CA - 945103215 |
| Business Phone Number: | 5109198897 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5448, VALLEJO |
| State: | CA |
| Postal Code: | 945910544 |
| Phone Number: | 5109198897 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 19946 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |