Individual
DR. JONATHAN CLOVIS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6116
(727) 553-7340
Mailing address
700 6TH ST S, ST PETERSBURG, FL 33701-4815
(727) 893-6116
(727) 553-7340
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PY9895
FL
103TH0004X
Health Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
Other
Enumeration date
11/15/2022
Last updated
01/03/2023
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