Provider Demographics
NPI:1831952662
Name:DR ZONYA MITCHELL PSYCHOLOGY SERVICES PLLC
Entity type:Organization
Organization Name:DR ZONYA MITCHELL PSYCHOLOGY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:646-363-8620
Mailing Address - Street 1:1430 BROADWAY STE 608
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-3308
Mailing Address - Country:US
Mailing Address - Phone:646-363-8620
Mailing Address - Fax:
Practice Address - Street 1:1430 BROADWAY STE 608
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-3308
Practice Address - Country:US
Practice Address - Phone:646-363-8620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty