Provider Demographics
NPI:1568894046
Name:MULLEN, DARCEY MARIE (SLPA)
Entity Type:Individual
Prefix:
First Name:DARCEY
Middle Name:MARIE
Last Name:MULLEN
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7649 N SARIVAL RD
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340-9607
Mailing Address - Country:US
Mailing Address - Phone:480-620-1285
Mailing Address - Fax:
Practice Address - Street 1:7649 N SARIVAL RD
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-9607
Practice Address - Country:US
Practice Address - Phone:480-620-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA84202355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant