Doctor Name: | MONICA MARIE MULLINAX |
NPI Number: | 1053523936 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CFY-SLP |
License Number: | 2006027168 |
Business Practice Address: | 1773 W Springfield Rd Saint Clair, MO - 630774420 |
Business Phone Number: | 6366293571 |
Business Fax Number: | 6366296619 |
Mailing Address: | 950 Westridge Dr., PACIFIC |
State: | MO |
Postal Code: | 63069 |
Phone Number: | 3146043556 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2006027168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |