Mitchell, Amelia Jo

Mitchell, Amelia Jo is an individual health care provider with primary practice located at 1526 Claytonia Ter , Saint Louis MO 63117-2126. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mitchell, Amelia Jo can be contacted via phone (805) 674-2595.

Contact Information

Primary practice address
1526 Claytonia Ter Saint Louis MO 63117-2126
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2012001260 Missouri

Profile Details

NPI number 1164474904
LBN Legal business name Mitchell, Amelia Jo
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Sep 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164474904 NPPES
Missouri Other 2012001260 LICENSE

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