GWEN E. MITCHELL (NPI# 1508989237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508989237 |
Entity Type | Individual |
Full Name | GWEN E. MITCHELL |
Practice Address |
129 W 3rd St Moscow ID 83843-2268 |
Mailing Address |
420 Summit Rd Moscow ID 83843-9651 |
Practice Telephone | 2088853588 |
Enumeration Date | 2007-04-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255825972 | Gwen House Mitchell | Pharmacist | 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 | 2018-06-16 |
Street Address |
129 W 3RD ST |
City | MOSCOW |
State | ID |
Zip Code | 83843-2268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902932262 | Laura C Richards | Psychologist | 129 W 3rd St, Moscow, ID 83843-2268 | 2007-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
Find all providers in zip 83843 |
Taxonomy Code | 103TS0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023622321 | Jessica Michelle Wilson-lucero | Psychologist | 395 1/2 Willard Ave, Pocatello, ID 83201-4524 | 2020-09-03 |
1184234411 | Ben L Walters | Psychologist | 2871 Agnes St, Idaho Falls, ID 83402-5639 | 2020-08-02 |
1629550405 | Tracey Hocevar | Psychologist | 2325 W Aspen Cove Cir, Meridian, ID 83642-6519 | 2018-08-29 |
1740708304 | Paige Robson | Psychologist | 9750 Soreng Avenue, Schiller Park, ID 60176 | 2017-09-05 |
1992105522 | Tammi Lynn Beck | Psychologist | 961 S 50 W, Burley, ID 83318-5610 | 2014-09-02 |
1760602213 | Snake River School District 52 | Psychologist | 918 West Highway 39, Blackfoot, ID 83221-6065 | 2007-04-26 |
1104066059 | Heidi Aldous | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2009-03-04 |
1811185853 | Molly C. Joyce | Psychologist | 2995 N Cole Rd, Suite 255, Boise, ID 83704-5964 | 2007-10-03 |
1750584462 | Tammy Labonne | Psychologist | 2995 N Cole Rd, Boise, ID 83704-5964 | 2007-06-08 |
Please comment or provide details below to improve the information on GWEN E. MITCHELL.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.