Kelly Mullins, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL012224 Issued in PA

Practice address

824 McAlpine St
Suite 5
Avoca, PA 18641-1104

Phone

(570) 842-9323

Fax

(570) 842-9362

NPI assigned

May 4, 2016

Last updated

May 4, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1629423033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "address_2": "SUITE 5",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411104",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 MCALPINE ST",
            "address_2": "SUITE 5",
            "city": "AVOCA",
            "state": "PA",
            "postal_code": "186411104",
            "telephone_number": "570-842-9323",
            "fax_number": "570-842-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin J. Moran Sr., D.O., P.C.
• Chris Allen Merithew
• Michael G. Mulea PT in Home Therapy Services
• Molly Mika
• Michael Gary Mulea, L.P.T
• Sarah Peiser, DPT
• Ramos Rheumatology, P.C.
• Laura Roney, DPT
• George Richard Stanis, DDS
• Gary Tomalis, MSPT

• Speech-Language Pathologist in Avoca, PA
• Providers in Avoca, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.