Provider Demographics
NPI:1821519828
Name:MULLANEY, HEATHER BRITTANY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:BRITTANY
Last Name:MULLANEY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4283 LLEWELLYN AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23504-1137
Mailing Address - Country:US
Mailing Address - Phone:443-765-8642
Mailing Address - Fax:
Practice Address - Street 1:4283 LLEWELLYN AVE APT 105
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23504-1100
Practice Address - Country:US
Practice Address - Phone:443-765-8642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-29
Last Update Date:2017-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist