Provider Demographics
NPI:1023301777
Name:MITCHELL, ALISON LEA (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:LEA
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SUBURBAN RD STE 101D
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-5581
Mailing Address - Country:US
Mailing Address - Phone:865-769-0283
Mailing Address - Fax:865-769-0281
Practice Address - Street 1:103 SUBURBAN RD STE 101D
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-5581
Practice Address - Country:US
Practice Address - Phone:865-769-0283
Practice Address - Fax:865-769-0283
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001606231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN103I640581Medicare PIN