Kathleen Mullee

Individual provider Active NPI Speech-Language Pathologist · Evesham, NJ

NPI 1013423557 · NPPES record last updated Dec 20, 2017

Key facts

NPI
1013423557
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
41YS00825200 (NJ)
Practice address
751 Route 73 N Ste 1
Evesham, NJ 08053-3456
Phone
(856) 375-2914
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
41YS00825200NJMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MJ Kidz LLC Speech-Language Pathologist Past
since Nov 15, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 41YS00825200 NJ Yes

Addresses

Primary practice location

751 Route 73 N Ste 1
Evesham, NJ 08053-3456

Mailing address

617 Van Gogh CT
Williamstown, NJ 08094-6375

Other providers in Evesham, NJ

All providers in Evesham, NJ · Speech-Language Pathologist in New Jersey

Sources for this page

Verify at the official NPI Registry.