Mollie Ulsas

Individual provider Active NPI Speech-Language Pathologist · Hermann, MO

NPI 1669920021 · NPPES record last updated Sep 14, 2016

Key facts

NPI
1669920021
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2016020628 (MO)
Practice address
328 W 7TH St
Hermann, MO 65041-1216
Phone
(573) 486-3197
NPI assigned
Sep 14, 2016
Sex
Female
Sole proprietor
No

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
2016020628MOMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2016020628 MO Yes

Addresses

Primary practice location

328 W 7TH St
Hermann, MO 65041-1216

Mailing address

328 W 7TH St
Hermann, MO 65041-1216

Other providers in Hermann, MO

All providers in Hermann, MO · Speech-Language Pathologist in Missouri

Sources for this page

Verify at the official NPI Registry.