person
Owen Mullen, ST
Speech/Language/Hearing Specialist/Technologist in Jackson, Mississippi
NPI 1326199787

Owen Mullen is a Speech/Language/Hearing Specialist/Technologist based in Jackson, MS. Owen Mullen practices in Jackson, MS and has the professional credentials of ST. The NPI Number for Owen Mullen is 1326199787 and holds a License No. S2779 (Mississippi).

The current practice location address for Owen Mullen is 1635 Boling St, Jackson, MS and can be reached out via phone at 601-366-0123 and via fax at 601-366-0649. You can also correspond with Owen Mullen through the mailing address at 1635 BOLING ST, JACKSON, MS - 39213-4418 (mailing address contact number: 601-366-0123).

Location: 1635 Boling St, Jackson, MS, 39213-4418
person
Provider Profile Details
NPI Number
1326199787
Provider Name
Owen Mullen
Credential
ST
Provider Entity Type
Individual
Gender
Female
Address
1635 Boling St, Jackson, MS, 39213-4418
Phone Number
601-366-0123
Fax Number
601-366-0649
Provider Enumeration Date
01/14/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06081560 05 MS
03921787 05 MS
institution
Provider Business Practice Location Address Details
Address
1635 Boling St
City
State
Zip
39213-4418
Phone Number
601-366-0123
Fax Number
601-366-0649
person
Provider Business Mailing Address Details
Address
1635 Boling St
City
State
Zip
39213-4418
Phone Number
601-366-0123
Fax Number
601-366-0649
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
License No.
S2779 (Mississippi)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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