Provider Demographics
NPI:1194534172
Name:PFISTER, MITCHELL
Entity type:Individual
Prefix:MR
First Name:MITCHELL
Middle Name:
Last Name:PFISTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 SHELBY ST STE 212
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-1163
Mailing Address - Country:US
Mailing Address - Phone:888-721-3003
Mailing Address - Fax:
Practice Address - Street 1:801 SHELBY ST STE 212
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-1163
Practice Address - Country:US
Practice Address - Phone:888-721-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker