Doctor Name: | CAROLYN MULBACH |
NPI Number: | 1174942650 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 3583 |
Business Practice Address: | 150 Glenwood Ln Birmingham, AL - 352425700 |
Business Phone Number: | 2059692880 |
Business Fax Number: | |
Mailing Address: | 900 Euclid Ave, MOUNTAIN BRK |
State: | AL |
Postal Code: | 352132606 |
Phone Number: | 8502288139 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2014 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3583 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |