Individual
AMY S MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1492 W ANTELOPE DR. STE 100, LAYTON, UT 84041
(801) 825-8091
(801) 825-8142
Mailing address
1492 W ANTELOPE DR. STE 100, LAYTON, UT 84041
(801) 825-8091
(801) 825-8142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5148768-4102
UT
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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