National Provider Identifier
Jessica Diane Mitchell, PH.D.
Jessica Diane Mitchell, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Canandaigua, NY and a listed phone number of (585) 396-4363.
Profile Overview
- NPI
- 1447508791
- Provider Type
- Individual
- Primary Specialty
- Clinical Child & Adolescent Psychologist
- Enumeration Date
- August 16, 2012
- Last Updated
- June 05, 2019
Practice Location
- 3019 County Complex Dr
- Canandaigua, NY 14424-9505
Phone: (585) 396-4363
Mailing Address
- 2083 County Road 25
- Phelps, NY 14532-9609
Specialties
- Clinical Child & Adolescent Psychologist (103TC2200X)
Full Record
- NPI
- 1447508791
- Entity Type
- Individual
- Last Name
- Mitchell
- First Name
- Jessica
- Middle Name
- Diane
- Credential
- PH.D.
- Mailing Street Address
- 2083 County Road 25
- Mailing City
- Phelps
- Mailing State
- NY
- Mailing ZIP Code
- 14532-9609
- Mailing Country
- US
- Mailing Phone
- (401) 243-7154
- Practice Street Address
- 3019 County Complex Dr
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-9505
- Practice Country
- US
- Practice Phone
- (585) 396-4363
- Enumeration Date
- August 16, 2012
- Last Updated
- June 05, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Child & Adolescent Psychologist (103TC2200X)