Provider Demographics
NPI:1750350047
Name:MULNICK, DAVID M (AUD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:MULNICK
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4313 CLEARY AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3107
Mailing Address - Country:US
Mailing Address - Phone:504-583-9773
Mailing Address - Fax:504-455-3309
Practice Address - Street 1:4313 CLEARY AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3107
Practice Address - Country:US
Practice Address - Phone:504-583-9773
Practice Address - Fax:504-455-3309
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-17
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA566231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist