Deborah Christine Mitchell, SLP

Individual provider Active NPI Speech-Language Pathologist · Yaphank, NY

NPI 1013146513 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1013146513
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
014713-1 (NY)
Practice address
17 Paine Commons
Yaphank, NY 11980-2023
Phone
(631) 775-0884
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
014713-1NYMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 014713-1 NY Yes

Addresses

Primary practice location

17 Paine Commons
Yaphank, NY 11980-2023

Mailing address

17 Paine Commons
Yaphank, NY 11980-2023
Phone (631) 775-0884

Other providers in Yaphank, NY

All providers in Yaphank, NY · Speech-Language Pathologist in New York

Sources for this page

Verify at the official NPI Registry.