| Mitchell Psychological Services Inc | |
|
5932 Pulaski Ave Philadelphia PA 19144-3823 | |
| (215) 849-7945 | |
| Not Available |
| Full Name | Mitchell Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 5932 Pulaski Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Melissa R Romanelli (BILLING) |
| Authorized Official Contact | 7243872455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell Psychological Services Inc 5932 Pulaski Ave Philadelphia PA 19144-3823 Ph: (215) 849-7945 | Mitchell Psychological Services Inc 5932 Pulaski Ave Philadelphia PA 19144-3823 Ph: (215) 849-7945 |
| NPI Number | 1568754018 |
|---|---|
| Provider Enumeration Date | 05/03/2011 |
| Last Update Date | 05/03/2011 |
| Medicare PECOS PAC ID | 5597943050 |
|---|---|
| Medicare Enrollment ID | O20110705000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568754018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS005301L (Pennsylvania) | Primary |
| Provider Name | Ellen L Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003866559 PECOS PAC ID: 8426048794 Enrollment ID: I20040518000040 |
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