Individual
MRS. CAROLYN A. MUECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2585 MIRACLE MILE ROAD, UNIT #124, BULLHEAD CITY, AZ 86442
(928) 763-4030
Mailing address
1515 LAKE HAVASU AVE N, SUITE 100, LAKE HAVASU CITY, AZ 86404
(928) 854-5439
(928) 854-5440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7867
AZ
235Z00000X
Speech-Language Pathologist
TSLP7867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
738537
—
AZ
Enumeration date
08/06/2012
Last updated
11/01/2017
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