Individual
MRS. STEPHANIE A MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
6317 HIGHWAY 329, CRESTWOOD, KY 40014-9040
(502) 384-0910
Mailing address
4322 JUNIPER FOREST PL, LOUISVILLE, KY 40245-2111
(502) 412-2268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10-091
KY
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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