Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | OH |
NPI | 1023415858 |
---|---|
Provider Name | Jennifer Mitchell |
First Address | West Chester, OH 45069 |
Second Address | West Chester, OH 45069-1113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2014 |
Last Update Date | 21/11/2014 |