Ellen L Mitchell in Philadelphia - Clinical
Ellen L Mitchell - NPI 1003866559
Ellen L Mitchell is a Clinical in Philadelphia, Pennsylvania. Ellen L Mitchell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ellen L Mitchell is 1003866559. The last update date is 2007-07-08.
Ellen L Mitchell's current location address is 5932 Pulaski Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2158497945 and fax number 2158495098. The mailing address for Ellen L Mitchell is 5932 Pulaski Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen L Mitchell |
|---|---|
| Address | 5932 Pulaski Ave, Philadelphia, Pennsylvania |
| Phone Number | 2158497945 |
| Fax Number | 2158495098 |
| Sole Proprietor | X |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1003866559 |
|---|---|
| Provider Enumeration Date | 2006-05-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5932 Pulaski Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191443823 |
| Phone Number | 2158497945 |
| Fax Number | 2158495098 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS005301L |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 409212000 | PA | BC/BS PERSONAL CHOICE ETC | |
| MI587330 | PA | NATIONAL BILLING NUMBER |
Post Comment/ Review Below
What is the Ellen L Mitchell's unique identification number?
The Ellen L Mitchell has been assigned the NPI (National Provider Identifier) Number 1003866559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Ellen L Mitchell's facilities are geographically located?
The facilities of Ellen L Mitchell are physically situated at the following location: 5932 Pulaski Ave, Philadelphia, PA, 191443823.
What is Ellen L Mitchell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ellen L Mitchell is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
When did Ellen L Mitchell receive its 1003866559 assignment?
The Ellen L Mitchell was assigned its 1003866559 on 2006-05-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Ellen L Mitchell most recently updated or revised?
The information pertaining to Ellen L Mitchell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.