Provider Demographics
NPI:1255743910
Name:MITCHELL, KATHERINE DAY
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DAY
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:D
Other - Last Name:MITCHELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8300 DOUGLAS AVE STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-5826
Mailing Address - Country:US
Mailing Address - Phone:972-752-3184
Mailing Address - Fax:972-478-0597
Practice Address - Street 1:8300 DOUGLAS AVE STE 800
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5826
Practice Address - Country:US
Practice Address - Phone:972-752-3184
Practice Address - Fax:972-478-0597
Is Sole Proprietor?:No
Enumeration Date:2014-05-28
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT38262084P0800X
WAMD609469892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry