GWEN E. MITCHELL


Address: 129 W 3rd St, Moscow, ID 83843-2268
Phone: 2088853588

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
Behavioral Health & Social Service Providers

Other Providers GWEN MITCHELL

NPI Name Taxonomy Address Enumeration
1255825972 Gwen House Mitchell Pharmacist 1500 Matthews Township Pkwy, Matthews, NC 28105-4656 2018-06-16

Office Location

Street Address 129 W 3RD ST
City MOSCOW
State ID
Zip Code 83843-2268

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902932262 Laura C Richards Psychologist 129 W 3rd St, Moscow, ID 83843-2268 2007-02-23

Providers in the same zip code

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 Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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

Competitor

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City MOSCOW
Zip Code 83843

Improve Information

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Dataset Information

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.

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