Doctor Name: | MARY JANE MULLEN |
NPI Number: | 1093875874 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4627 |
Business Practice Address: | 17 Cocasset St Foxboro, MA - 020352948 |
Business Phone Number: | 5086983709 |
Business Fax Number: | 5086983785 |
Mailing Address: | 51 Sheridan St, NORTH EASTON |
State: | MA |
Postal Code: | 023561846 |
Phone Number: | 5082381523 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4627 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |