Individual
KARA ANN MULLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
4640 BAIR AVE, SUITE 107, LINCOLN, NE 68504-1183
(402) 742-7400
(402) 742-9592
Mailing address
4640 BAIR AVE, SUITE 107, LINCOLN, NE 68504-1183
(402) 742-7400
(402) 742-9592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1137
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100250113-00
MEDICAID
NE
Enumeration date
09/19/2007
Last updated
07/29/2013
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