Individual
MARY ELIZABETH MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
12110 CLAYTON RD, SAINT LOUIS, MO 63131-2516
(314) 989-8100
Mailing address
6810 W PARK AVE, SAINT LOUIS, MO 63139-3722
(314) 449-0735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0384281
MO
235Z00000X
Speech-Language Pathologist
146-009406
IL
Other
Enumeration date
04/19/2007
Last updated
04/04/2022
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