Provider Demographics
NPI:1588833446
Name:MUELLER, KARLENE MARIE (CCC-SLP-A)
Entity Type:Individual
Prefix:MS
First Name:KARLENE
Middle Name:MARIE
Last Name:MUELLER
Suffix:
Gender:F
Credentials:CCC-SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 E ROWLAND ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3266
Mailing Address - Country:US
Mailing Address - Phone:626-332-0896
Mailing Address - Fax:626-332-0957
Practice Address - Street 1:527 E ROWLAND ST
Practice Address - Street 2:SUITE 110
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3266
Practice Address - Country:US
Practice Address - Phone:626-332-0896
Practice Address - Fax:626-332-0957
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1933231H00000X
CASP11468235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASP0114682Medicaid