Doctor Name: | MS. DEBORAH ASHLEY MULLIN |
NPI Number: | 1881888709 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | SZ3969 |
Business Practice Address: | 681 Beville Rd South Daytona, FL - 321191951 |
Business Phone Number: | 8664262811 |
Business Fax Number: | |
Mailing Address: | 405 Se 2nd Ave, Suite 15 GAINESVILLE |
State: | FL |
Postal Code: | 326015805 |
Phone Number: | 3522164436 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2007 |
NPI Last Update Date: | 09/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ3969 |
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 |