Doctor Name: | MARIA MERCEDES MOLINA-WHILLOCK |
NPI Number: | 1508030800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS.SLP |
License Number: | SLP1571 |
Business Practice Address: | 16830 W Lambert Ln Marana, AZ - 856539271 |
Business Phone Number: | 5206826330 |
Business Fax Number: | 5206823006 |
Mailing Address: | 16830 W Lambert Ln, MARANA |
State: | AZ |
Postal Code: | 856539271 |
Phone Number: | 5206826330 |
Fax Number: | 5206823006 |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 04/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP1571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |