MEDICARE: MRS. AMY MICHELLE MULLIGAN MA, CCC-SLP

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		CO

General Provider Information

NPI Number	:	1881923498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY MICHELLE MULLIGAN MA, CCC-SLP

Provider Business Mailing Address
First Line	:	5231 HIALEAH DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-1101
Country	:	US
Telephone Number	:	970-815-1456
Fax Number	:

Provider Business Practice Location Address
First Line	:	4650 ROYAL VISTA CIR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80528-9321
Country	:	US
Telephone Number	:	970-305-5070
Fax Number	:

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

Provider Enumeration Date	:	12/10/2009
Last Update Date	:	10/03/2025

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