Individual
JAMIE LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
399 HOSPITAL LN, TERRE HAUTE, IN 47802-4394
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007770A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14336809
ASHA
IN
01
—
22007770A
SLP LICENSE
IN
Enumeration date
06/03/2021
Last updated
06/29/2023
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