Mitchell, William Edgefield

Mitchell, William Edgefield is an sole proprietor health care provider with primary practice located at 1595 Elmwood Ave Ste 2 , Rochester NY 14620-3602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Mitchell, William Edgefield can be contacted via phone (585) 465-5072.

Contact Information

Primary practice address
1595 Elmwood Ave Ste 2 Rochester NY 14620-3602
Phone: (585) 465-5072
Fax: (585) 486-5077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 011107 New York
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0111107 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 011107 New York
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1740393735
LBN Legal business name Mitchell, William Edgefield
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Jul 21st, 2022 - about 2 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 1740393735 NPPES
New York Other 103283EU PREFERRED CARE
New York MEDICAID 06800011107 PREFERRED CARE
New York Other EM PREFERRED CARE
New York Other 014003729 PREFERRED CARE
New York Other 3109089 PREFERRED CARE

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