Healthcare Provider Details

I. General information

NPI: 1891630984
Provider Name (Legal Business Name): LINDA MULVIHILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N ROCKY RIVER RD
MONROE NC
28110-8016
US

IV. Provider business mailing address

4208 OXFORD MILL RD
WAXHAW NC
28173-0018
US

V. Phone/Fax

Practice location:
  • Phone: 704-290-1523
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11997
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: