Doctor Name: | MRS. AMY J MULLIGAN |
NPI Number: | 1134463573 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2 Educational Dr Essex High School Essex Junction, VT - 054523167 |
Business Phone Number: | 8028577000 |
Business Fax Number: | |
Mailing Address: | 27 Conger Ave, Apt 3 BURLINGTON |
State: | VT |
Postal Code: | 054015243 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
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 |