Provider Demographics
NPI:1437218708
Name:MULLER, CAROLYN WHEELER (MS)
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:WHEELER
Last Name:MULLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 JENNERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:COCHRANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19330-9467
Mailing Address - Country:US
Mailing Address - Phone:610-869-9068
Mailing Address - Fax:
Practice Address - Street 1:617 JENNERSVILLE RD
Practice Address - Street 2:
Practice Address - City:COCHRANVILLE
Practice Address - State:PA
Practice Address - Zip Code:19330-9467
Practice Address - Country:US
Practice Address - Phone:610-869-9068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE01-000125235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist