MEDICARE: CATHY S MULLANEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1194296095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHY S MULLANEY

Provider Business Mailing Address
First Line	:	6329 KAITLYN CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-1531
Country	:	US
Telephone Number	:	513-675-2653
Fax Number	:

Provider Business Practice Location Address
First Line	:	6481 BRIDGETOWN RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45248-2934
Country	:	US
Telephone Number	:	513-574-3443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	12/17/2018

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Directions to “ CATHY S MULLANEY ” Practice Location

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