Individual
AMELIA K MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4804 WESLEY ST, GREENVILLE, TX 75401-5650
(903) 454-0300
Mailing address
400 AIRPORT RD, P O BOX 747, TERRELL, TX 75160-4302
(972) 524-4159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T1884
BCBS NUMBER
TX
Enumeration date
11/26/2006
Last updated
07/09/2007
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