Mullis, Laura
Mullis, Laura is an sole proprietor health care provider with primary practice located at 2941 N Ashley St Suite D, Valdosta GA 31602-5945. 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, Laura can be contacted via phone (229) 253-8500.Contact Information
Primary practice address
2941 N Ashley St Suite D
Valdosta GA 31602-5945
Phone: (229) 253-8500
Fax: (229) 253-8522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP006355 | Georgia |
Profile Details
| NPI number | 1568905370 |
|---|---|
| LBN Legal business name | Mullis, Laura |
| Credentials | M.ED.CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2016 |
| Last updated | Nov 28th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568905370 | NPPES |
| Georgia | Other | SLP006355 | GEORGIA SECRETARY OF STATE |
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