Stephan Wayne Mitchell, Ed.S., NCSP
Psychologist, School in Port Saint Lucie, FL. Individual provider (NPI-1).
NPI number1275452955
StatusActive
Last updated in NPPESJul 15, 2026
Details
- NPI
- 1275452955
- Entity type
- Individual (NPI-1)
- Name
- Stephan Wayne Mitchell
- Credential
- Ed.S., NCSP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2026
- Certification date
- Jul 15, 2026
- Last updated
- Jul 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | SS1988 | FL | Yes |
Practice location
702 Se Lake Falls StPort Saint Lucie, FL 34984-6693
Phone 561-202-1621
Mailing address
702 Se Lake Falls StPort Saint Lucie, FL 34984-6693
Phone 561-202-1621
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