| Organization Name: | MUELLER PEDIATRIC THERAPY, LTD. |
| NPI Number: | 1316112139 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIN NICOLE LYNETTE MUELLER (PRESIDENT/ SLP) |
| Mailing Address: | 411 E Washington St East Peoria |
| State: | IL US |
| Postal Code: | 616112663 |
| Phone Number: | 3092826704 |
| Fax Number: | 3093872340 |
| NPI Enumeration Date: | 04/23/2008 |
| NPI Last Update Date: | 03/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146008528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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 |