Provider Demographics
NPI:1841243276
Name:MITCHELL, SANDRA ARLENE (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:ARLENE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CHERRYWOOD CT
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-4511
Mailing Address - Country:US
Mailing Address - Phone:501-223-2735
Mailing Address - Fax:501-223-1890
Practice Address - Street 1:11 CHERRYWOOD CT
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-4511
Practice Address - Country:US
Practice Address - Phone:501-223-2735
Practice Address - Fax:501-223-1890
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARSP#443235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist