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NPI Code Detail

MEDICARE: KATHERINE DAY MITCHELL, MD, PLLC

MEDICARE: KATHERINE DAY MITCHELL, MD, PLLC
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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1740948082
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATHERINE DAY MITCHELL, MD, PLLC
Provider Business Mailing Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 972-752-3184
Fax Number : 972-478-0597
Provider Business Practice Location Address
First Line : 8300 DOUGLAS AVE STE 800
Second Line :
City : DALLAS
State : TX
Zip : 75225-5826
Country : US
Telephone Number : 972-752-3184
Fax Number : 972-478-0597
Authorized Official
Title or Position : MD PSYCHIATRY
Name : DR. KATHERINE DAY MITCHELL
Credential : MD
Telephone Number : 972-752-3184
Provider Enumeration Date : 12/03/2021
Last Update Date : 12/03/2021

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