Doctor Name: | KELLI L. MULLINS |
NPI Number: | 1619190873 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 102573 |
Business Practice Address: | 1005 N 7th St Silsbee, TX - 776563826 |
Business Phone Number: | 4093853510 |
Business Fax Number: | 4093865751 |
Mailing Address: | 1005 N 7th St, SILSBEE |
State: | TX |
Postal Code: | 776563826 |
Phone Number: | 4093853510 |
Fax Number: | 4093865751 |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235500000X |
License Number: | 102573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |