Individual
KEVIN G MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-5500
(623) 691-5520
Mailing address
2043 N 64TH DR, PHOENIX, AZ 85035-3424
(623) 691-5500
(623) 691-5520
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8375
AZ
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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