Individual
MRS. BRENDA C MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP
Contact information
Practice address
2151 LINGLESTOWN RD, SUITE 140, HARRISBURG, PA 17110-9499
(717) 540-3446
(717) 540-3447
Mailing address
6015 WILLOW SPRING RD, HARRISBURG, PA 17111-4715
(717) 540-3446
(717) 540-3447
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL005382L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01840158
—
PA
01
—
1537904
GATEWAY
PA
01
—
251844378
DEVON HEALTH SERVICES
PA
01
—
3317925
AETNA HMO
PA
01
—
50020000
CAPITAL BLUE CROSS
PA
01
—
7112494
AETNA PPO/POS
PA
01
—
MI530509
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/04/2005
Last updated
11/12/2014
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