| Doctor Name: | LAURA M MULVANY |
| NPI Number: | 1023064730 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 2668 |
| Business Practice Address: | 1700 Woodlawn Ave Dyersburg, TN - 380242028 |
| Business Phone Number: | 7312861115 |
| Business Fax Number: | 7312860998 |
| Mailing Address: | 1804 Highway 45 Byp, Suite 604 JACKSON |
| State: | TN |
| Postal Code: | 383054436 |
| Phone Number: | 7316608759 |
| Fax Number: | |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2668 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |