MEDICARE: MRS. CHELSEA MITCHELL M.S.ED/CCC-SLP

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	235Z00000X	Speech-Language Pathologist	SA13696	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578992236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHELSEA MITCHELL M.S.ED/CCC-SLP

Provider Business Mailing Address
First Line	:	2124 NE 123RD ST
Second Line	:	SUITE 210
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2881
Country	:	US
Telephone Number	:	305-895-0444
Fax Number	:	305-895-0490

Provider Business Practice Location Address
First Line	:	2124 NE 123RD ST
Second Line	:	SUITE 210
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2881
Country	:	US
Telephone Number	:	305-895-0444
Fax Number	:	305-895-0490

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

Provider Enumeration Date	:	11/04/2013
Last Update Date	:	07/14/2016

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Directions to “ MRS. CHELSEA MITCHELL M.S.ED/CCC-SLP” Practice Location

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