Jerry Don Mitchell is a Clinical in Alpine, Texas. Jerry Don Mitchell practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jerry Don Mitchell is 1750500484. The last update date is 2007-07-08.
Jerry Don Mitchell's current location address is 1903 Enfield Rd, Alpine, Texas. You can contact this provider via phone number 4328375857. The mailing address for Jerry Don Mitchell is 1903 Enfield Rd, Alpine, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Don Mitchell |
|---|---|
| Address | 1903 Enfield Rd, Alpine, Texas |
| Phone Number | 4328375857 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ED.D., PSY |
NPI Number Detail
| NPI Number | 1750500484 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1903 Enfield Rd |
|---|---|
| City | Alpine |
| State | Texas (TX) |
| Post Code | 798302005 |
| Phone Number | 4328375857 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 21264 |
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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 |
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What is the Jerry Don Mitchell's 1750500484?
The Jerry Don Mitchell's NPI (National Provider Identifier) Number is 1750500484. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Jerry Don Mitchell located?
The Jerry Don Mitchell is located at 1903 Enfield Rd, Alpine, TX 798302005.
What is Jerry Don Mitchell's area of expertise and its corresponding taxonomy classification?
The Jerry Don Mitchell's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1750500484 assigned to Jerry Don Mitchell?
The Jerry Don Mitchell was issued its 1750500484 on 2007-04-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerry Don Mitchell last refreshed?
The information related to the Jerry Don Mitchell, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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