Janet Mitchel, M.A., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Willliamsburg, VA
NPI 1801037130 · NPPES record last updated Mar 17, 2009
Key facts
- NPI
- 1801037130
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202004351 (VA)
- Practice address
- 150 Point O'Woods Rd.
Willliamsburg, VA 23188-7052 - Phone
- (757) 566-3300
- Fax
- (757) 566-8977
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202004351 | VA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Development Resources | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004351 | VA | Yes |
Addresses
Primary practice location
150 Point O'Woods Rd.
Willliamsburg, VA 23188-7052
Mailing address
PO Box 280
Norge, VA 23127-0280
Phone (757) 566-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45084 | Other | VA | OPTIMA |
| 49-6679 | Other | VA | MEDICARE |
| 49-7850-1 | Medicaid | VA | |
| 194411 | Other | VA | ANTHEM |
Other providers in Willliamsburg, VA
- Wilda Crespo
- Janelle Gochenour
- Elizabeth Jorlett
- Elizabeth Pruitt
- Robin Rice
- Sherry Shellman
- Mary Grace Simasek
- Kara Trahant
All providers in Willliamsburg, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2009. 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.