Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stephan Wayne Mitchell, EDS, NCSP

Individual provider School Psychologist · NPI 1275452955

Stephan Wayne Mitchell, EDS, NCSP is a School Psychologist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

702 SE Lake Falls St
Port Saint Lucie, FL 34984-6693
Phone: (561) 202-1621
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence SS1988 (FL)

Record details

NPI number1275452955
Entity typeIndividual (Type 1)
GenderMale
Credentials EDS , NCSP
Sole proprietorYes
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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