Provider Demographics
NPI:1972819449
Name:MITCHELL, ELIZABETH BEVIN (SPEECH LANGUAGE PATH)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:BEVIN
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:BEVIN
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH LANGUAGE PATH
Mailing Address - Street 1:14050 N. NORTHSIGHT BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260
Mailing Address - Country:US
Mailing Address - Phone:602-368-8601
Mailing Address - Fax:602-368-8605
Practice Address - Street 1:14050 N. NORTHSIGHT BLVD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:602-368-8601
Practice Address - Fax:602-368-8605
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP5756235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist