Pamela R Mitchell, C.C.C. SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2093 Issued in OH

Practice address

433 Rellim Dr
Kent, OH 44240-4533

Phone

(330) 474-1649

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1184830770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 RELLIM DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404533",
            "telephone_number": "330-474-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 RELLIM DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404533",
            "telephone_number": "330-474-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "PAMELA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "C.C.C. SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP2093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dolly Minns, LMT
• Kathryn Marie Minor
• Calley Erin Mitchell, M.A., CCC-SLP
• Kimberly M Mitchell
• Nicole Lynn Mitchell
• Shayna Mitchen, LSW
• Yaroslav Mitsyuk
• Mandi Moerland, LISW
• Norma Jean Moffatt
• Calvin Darrell Montgomery

• Speech-Language Pathologist in Kent, OH
• Providers in Kent, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.