Individual
REBECCA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC - SLP
Contact information
Practice address
1600 W LA JOLLA DR APT 2065, TEMPE, AZ 85282-4462
(919) 624-4916
Mailing address
1600 W LA JOLLA DR APT 2065, TEMPE, AZ 85282-4462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12044
AZ
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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