National Provider Identifier
William Edgefield Mitchell III, PSY.D.
William Edgefield Mitchell III, PSY.D. is listed in the NPPES registry with a primary specialty of Clinical Child & Adolescent Psychologist in Rochester, NY and a listed phone number of (585) 465-5072.
Profile Overview
- NPI
- 1740393735
- Provider Type
- Individual
- Primary Specialty
- Clinical Child & Adolescent Psychologist
- Enumeration Date
- August 16, 2006
- Last Updated
- July 21, 2022
Practice Location
- 1595 Elmwood Ave Ste 2
- Rochester, NY 14620-3602
Phone: (585) 465-5072
Specialties
- Clinical Child & Adolescent Psychologist (103TC2200X)
- Clinical Child & Adolescent Psychologist (103TC2200X)
- Psychologist (103T00000X)
Full Record
- NPI
- 1740393735
- Entity Type
- Individual
- Last Name
- Mitchell
- First Name
- William
- Middle Name
- Edgefield
- Name Suffix
- III
- Credential
- PSY.D.
- Mailing Street Address
- 1595 Elmwood Ave Ste 2
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3602
- Mailing Country
- US
- Mailing Phone
- (585) 465-5072
- Mailing Fax
- (585) 486-5077
- Practice Street Address
- 1595 Elmwood Ave Ste 2
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3602
- Practice Country
- US
- Practice Phone
- (585) 465-5072
- Practice Fax
- (585) 486-5077
- Enumeration Date
- August 16, 2006
- Last Updated
- July 21, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Clinical Child & Adolescent Psychologist (103TC2200X), Clinical Child & Adolescent Psychologist (103TC2200X), Psychologist (103T00000X)
- Other Identifiers
- 103283EU (NY, Preferred Care), 06800011107 (NY), EM (NY, Excellus), 014003729 (NY, Excellus), 3109089 (NY, Value Options)