Michele J Mulholland, SLP

Individual provider Active NPI Speech-Language Pathologist · Barto, PA

NPI 1124348685 · NPPES record last updated Jun 8, 2010

Key facts

NPI
1124348685
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SL007180 (PA)
Practice address
20 Joy Cir
Barto, PA 19504-8743
Phone
(267) 304-0700
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

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
SL007180PAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL007180 PA Yes

Addresses

Primary practice location

20 Joy Cir
Barto, PA 19504-8743

Mailing address

20 Joy Cir
Barto, PA 19504-8743
Phone (267) 304-0700

Other providers in Barto, PA

All providers in Barto, PA · Speech-Language Pathologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.