Individual
ELIZABETH ROWE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.
Contact information
Practice address
4530 W 77TH ST, SUITE 200, MINNEAPOLIS, MN 55435-5006
(763) 515-2453
(763) 515-2442
Mailing address
1755 JAMES AVE, SAINT PAUL, MN 55105-2114
(651) 698-3122
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP 1336
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP 1336
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP 1336
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
960053100
—
MN
Enumeration date
01/09/2007
Last updated
06/22/2016
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