Provider Demographics
NPI:1093174815
Name:MULKEY, HANNAH B (MA, SLP)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:B
Last Name:MULKEY
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2345
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70727-2345
Mailing Address - Country:US
Mailing Address - Phone:225-238-1741
Mailing Address - Fax:225-341-8749
Practice Address - Street 1:865 HATCHELL LN
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-3019
Practice Address - Country:US
Practice Address - Phone:225-238-1741
Practice Address - Fax:225-341-8749
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist