Provider Demographics
NPI:1295073856
Name:MULLIN, CATHERINE LYNN (SLPA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYNN
Last Name:MULLIN
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:L
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:430 OLDS STATION RD.
Mailing Address - Street 2:P.O. BOX 1847
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-665-2610
Mailing Address - Fax:509-662-9027
Practice Address - Street 1:1400 TACOMA AVE.
Practice Address - Street 2:BRIDGEPORT SCHOOL DISTRICT
Practice Address - City:BRIDGEPORT
Practice Address - State:WA
Practice Address - Zip Code:98813
Practice Address - Country:US
Practice Address - Phone:509-686-5656
Practice Address - Fax:509-686-2221
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASP602462192355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASP60246219OtherSLPA CERTIFICATION