| Dianne Mitchell, Ph.d., Pllc | |
|
121 Reynolda Vlg Suite G Winston Salem NC 27106-5126 | |
| (336) 761-8600 | |
| (336) 725-8550 |
| Full Name | Dianne Mitchell, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 121 Reynolda Vlg, Winston Salem, North Carolina |
| Authorized Official Name and Position | Dianne Mitchell (PRESIDENT) |
| Authorized Official Contact | 3367618600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne Mitchell, Ph.d., Pllc 121 Reynolda Vlg Suite G Winston Salem NC 27106-5126 Ph: (336) 761-8600 | Dianne Mitchell, Ph.d., Pllc 121 Reynolda Vlg Suite G Winston Salem NC 27106-5126 Ph: (336) 761-8600 |
| NPI Number | 1548470776 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548470776 | NPI | - | NPPES |
| 04143 | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 5011 (North Carolina) | Primary |
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