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Contact Information

COLLEEN A. MITCHELL PSYCHOLOGICAL SERVICES
211 S. MAIN STREET SUITE 104
FORT ATKINSON, WI53538-1894
 Phone: 773-387-0790
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for COLLEEN A. MITCHELL PSYCHOLOGICAL SERVICES

NPI Number 1023506524
LBN Legal business name COLLEEN A. MITCHELL PSYCHOLOGICAL SERVICES
Authorized official COLLEEN MITCHELL - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/30/2018
Last updated 04/30/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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