Doctor Name: | MRS. JUANITA THERESA MCMULLEN |
NPI Number: | 1689714164 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | SP-2820 |
Business Practice Address: | 885 Howland Wilson Rd Ne Warren, OH - 444842115 |
Business Phone Number: | 3308562107 |
Business Fax Number: | 3308562107 |
Mailing Address: | 885 Howland Wilson Rd Ne, WARREN |
State: | OH |
Postal Code: | 444842115 |
Phone Number: | 3308562107 |
Fax Number: | 3308562107 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP-2820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |