Provider Demographics
NPI:1194556134
Name:MITCHELL, ALEXIS (PHD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 PRICE ST APT 308
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-0391
Mailing Address - Country:US
Mailing Address - Phone:828-381-9674
Mailing Address - Fax:
Practice Address - Street 1:218 PRICE ST APT 308
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-0391
Practice Address - Country:US
Practice Address - Phone:828-381-9674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-12
Last Update Date:2024-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program