Provider Demographics
NPI:1588861553
Name:MITCHELL-PATTON, CHRISTIE C (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:C
Last Name:MITCHELL-PATTON
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 JM PERRY CV
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38310-5074
Mailing Address - Country:US
Mailing Address - Phone:731-632-9583
Mailing Address - Fax:
Practice Address - Street 1:690 PICKWICK ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372-3052
Practice Address - Country:US
Practice Address - Phone:731-925-6626
Practice Address - Fax:731-925-7330
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000001523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist