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
Fax: (229) 253-8522
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568905370 NPPES
Georgia Other SLP006355 GEORGIA SECRETARY OF STATE

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