| Doctor Name: | MISS SHERI LYNN MULLEN |
| NPI Number: | 1588808968 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | SA4506 |
| Business Practice Address: | 3046 Del Prado Blvd S Ste 2a Cape Coral, FL - 339047215 |
| Business Phone Number: | 2396911555 |
| Business Fax Number: | 2395495585 |
| Mailing Address: | Po Box 60051, FORT MYERS |
| State: | FL |
| Postal Code: | 339066051 |
| Phone Number: | 2396911555 |
| Fax Number: | 2395495585 |
| NPI Enumeration Date: | 04/29/2009 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SA4506 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| 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 |