Jeanette Leone Mitchell in Waconia - Psychologist

Jeanette Leone Mitchell - NPI 1679574990

Jeanette Leone Mitchell is a Psychologist in Waconia, Minnesota. Jeanette Leone Mitchell practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Jeanette Leone Mitchell is 1679574990. The last update date is 2007-07-08.

Jeanette Leone Mitchell's current location address is 540 E 1st St, Waconia, Minnesota. You can contact this provider via phone number 9524424437 and fax number 9524423084. The mailing address for Jeanette Leone Mitchell is 540 E 1st St, Waconia, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeanette Leone Mitchell
Address 540 E 1st St, Waconia, Minnesota
Phone Number 9524424437
Fax Number 9524423084
Sole Proprietor X
Credentials MEQ LP

NPI Number Detail

NPI Number 1679574990
Provider Enumeration Date 2005-08-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 540 E 1st St
City Waconia
State Minnesota (MN)
Post Code 553871601
Phone Number 9524424437
Fax Number 9524423084

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No LP2397
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6220576 MN UBH-MEDICA
109644 MN U-CARE
HP19051 MN HEALTH PARTNERS
57428MI MN BLUECROSSBLUESHIELD
1017126 MN PREFERRED ONE

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FAQs about Jeanette Leone Mitchell

What is the unique 10-digit identifier code issued to Jeanette Leone Mitchell by the Centers for Medicare & Medicaid Services?

The Jeanette Leone Mitchell has been assigned the NPI (National Provider Identifier) 1679574990 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Jeanette Leone Mitchell?

The Jeanette Leone Mitchell is physically situated at 540 E 1St St, in the city of Waconia, state of MN, with the postal code 553871601.

What is the area of specialization for Jeanette Leone Mitchell, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jeanette Leone Mitchell is Psychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103T00000X.

On what date did the Jeanette Leone Mitchell receive its 1679574990 assignment from the Centers for Medicare & Medicaid Services?

The Jeanette Leone Mitchell was assigned its 1679574990 by the Centers for Medicare & Medicaid Services on 2005-08-09.

As of what date was the information pertaining to Jeanette Leone Mitchell, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jeanette Leone Mitchell, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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