Mary Beth K Mullaney, MS. CCC.SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4992 Issued in SC

Practice address

22 Stafford Rd
Anderson, SC 29626-5674

Phone

(813) 956-3614

NPI assigned

Sep 10, 2012

Last updated

Sep 10, 2012By 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)

Not enrolled

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1750630448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STAFFORD RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265674",
            "telephone_number": "813-956-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 STAFFORD RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296265674",
            "telephone_number": "813-956-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "MARY BETH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MS. CCC.SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mowlajlo Family and Cosmetic Dentistry,LLC
• MP Veera MD PA
• John Muhonen II
• Debra Ann Mull, RN, BHSR, MBA
• Connor Daniel Mullan, PT, DPT
• Morgan Louise Mullenix, RBT
• Diana Mullikin, FNP-C
• Jessica Ann Mullis, FNP
• Brian James Mulroy, D.O.
• Joseph B Mulvihill, MD

• Speech-Language Pathologist in Anderson, SC
• Providers in Anderson, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.