Mullis, Heather

Mullis, Heather is an individual health care provider with primary practice located at 65 Darcee Ct , Lawrenceville GA 30045-7402. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mullis, Heather can be contacted via phone (678) 858-4777.

Contact Information

Primary practice address
65 Darcee Ct Lawrenceville GA 30045-7402
Fax: (678) 985-3953
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 6927 Georgia

Profile Details

NPI number 1851543490
LBN Legal business name Mullis, Heather
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2008
Last updated Oct 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851543490 NPPES
Georgia MEDICAID 226858618A

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