Gwen E. Mitchell

NPI #1508989237 in Moscow, Idaho

Provider Information

NPI Number: 1508989237
Entity Type: Individual
Name: Gwen E. Mitchell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Apr 9, 2007
Last Updated: Jul 19, 2024

Practice Location

Address: 129 W 3RD ST
City: Moscow
State: Idaho
ZIP Code: 83843-2268
Phone: (208) 885-3588

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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