Individual
AMY BURNS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1601 CENTER ST, STE 1S, MOBILE, AL 36604-1512
(251) 410-5437
(251) 434-3852
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-3852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
594
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05958794
—
MS
01
—
51538857
BCBS
AL
05
—
890019380
—
AL
05
—
892066400
—
FL
Enumeration date
11/29/2006
Last updated
02/16/2017
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