Individual
MONICA MARIE MULLINAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CFY-SLP
Contact information
Practice address
1773 W SPRINGFIELD RD, SAINT CLAIR, MO 63077-4420
(636) 629-3571
(636) 629-6619
Mailing address
950 WESTRIDGE DR., PACIFIC, MO 63069
(314) 604-3556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2006027168
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007021712
STATE BOARD
MO
Enumeration date
05/04/2007
Last updated
04/07/2008
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