Doctor Name: | TRACY ANNE MULLINS |
NPI Number: | 1285656702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 3358 |
Business Practice Address: | 5409 Douglas Firr Ct Cincinnati, OH - 452477445 |
Business Phone Number: | 5135744612 |
Business Fax Number: | 5135744612 |
Mailing Address: | 5409 Douglas Firr Ct, CINCINNATI |
State: | OH |
Postal Code: | 452477445 |
Phone Number: | 5135744612 |
Fax Number: | 5135744612 |
NPI Enumeration Date: | 07/24/2006 |
NPI Last Update Date: | 07/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3358 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
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 |