Kelli L. Mullins, MS, CCC-SLP

Individual provider Active NPI Speech/Language/Hearing Specialist/Technologist · Silsbee, TX

NPI 1619190873 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1619190873
Entity type
Individual (NPI type 1)
Primary specialty
Speech/Language/Hearing Specialist/Technologist 235500000X
License
102573 (TX)
Practice address
1005 N 7TH St
Silsbee, TX 77656-3826
Phone
(409) 385-3510
Fax
(409) 386-5751
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102573TXMDSpeech/Language/Hearing Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Silsbee Independent School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech/Language/Hearing Specialist/Technologist 235500000X 102573 TX Yes

Addresses

Primary practice location

1005 N 7TH St
Silsbee, TX 77656-3826

Mailing address

1005 N 7TH St
Silsbee, TX 77656-3826
Phone (409) 385-3510

Other identifiers

IdentifierTypeStateIssuer
87619TOtherTXINSURANCE

Other providers in Silsbee, TX

All providers in Silsbee, TX · Speech/Language/Hearing Specialist/Technologist in Texas

Sources for this page

Verify at the official NPI Registry.