Individual
MRS. STEPHANIE E MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
2148 AWAPUHI ST, HILO, HI 96720-5290
(808) 365-8128
(808) 961-6383
Mailing address
1753 KILAUEA AVE, D1, HILO, HI 96720-8003
(808) 494-8933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004778A
IN
235Z00000X
Speech-Language Pathologist
SP 1190
HI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/25/2011
Last updated
02/15/2023
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