Individual
KELLY MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
824 MCALPINE ST, SUITE 5, AVOCA, PA 18641-1104
(570) 842-9323
(570) 842-9362
Mailing address
824 MCALPINE ST, SUITE 5, AVOCA, PA 18641-1104
(570) 842-9323
(570) 842-9362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL012224
PA
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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