MEDICARE: DR. SKYLER PAIGE MITCHELL PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	276169	KY

General Provider Information

NPI Number	:	1295340339
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SKYLER PAIGE MITCHELL PSYD

Provider Business Mailing Address
First Line	:	7504 FAIR LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-8408
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7504 FAIR LN
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40291-8408
Country	:	US
Telephone Number	:	859-757-6949
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2020
Last Update Date	:	06/01/2026

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