Individual
MARY ANN MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
9810 BLUEGRASS PKWY, LOUISVILLE, KY 40299-1906
(502) 584-9781
Mailing address
104 BELLEMEADE RD, LOUISVILLE, KY 40222-5310
(502) 429-6109
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0731
KY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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