Emilia Mitchell, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Antwerp, NY
NPI 1225814940 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1225814940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 033227 (NY)
- Practice address
- 6 Academy St
Antwerp, NY 13608-7700 - Phone
- (315) 659-8386
- NPI assigned
- Sep 7, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 033227 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 033227 | NY | Yes |
Addresses
Primary practice location
6 Academy St
Antwerp, NY 13608-7700
Mailing address
20104 Arsenal Street Rd
Watertown, NY 13601-5555
Phone (315) 779-7000
Other providers in Antwerp, NY
All providers in Antwerp, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.