Individual
MRS. AUDREY KAROL MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 W PERKAL ST, OFFICE OF PUPIL PERSONNEL SERVICES, BAY SHORE, NY 11706-6642
(631) 968-1232
Mailing address
75 W PERKAL ST, BAY SHORE, NY 11706-6642
(631) 968-1232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
007901-1
NY
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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