Doctor Name: | MRS. BRENDA C MITCHELL |
NPI Number: | 1639160872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC,SLP |
License Number: | SL005382L |
Business Practice Address: | 2151 Linglestown Rd Suite 140 Harrisburg, PA - 171109499 |
Business Phone Number: | 7175403446 |
Business Fax Number: | 7175403447 |
Mailing Address: | 6015 Willow Spring Rd, HARRISBURG |
State: | PA |
Postal Code: | 171114715 |
Phone Number: | 7175403446 |
Fax Number: | 7175403447 |
NPI Enumeration Date: | 11/04/2005 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL005382L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |