Mcmullen, Juanita Theresa

Mcmullen, Juanita Theresa is an individual health care provider with primary practice located at 885 Howland Wilson Rd Ne , Warren OH 44484-2115. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mcmullen, Juanita Theresa can be contacted via phone (330) 856-2107.

Contact Information

Primary practice address
885 Howland Wilson Rd Ne Warren OH 44484-2115
Phone: (330) 856-2107
Fax: (330) 856-2107
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP-2820 Ohio

Profile Details

NPI number 1689714164
LBN Legal business name Mcmullen, Juanita Theresa
Credentials SP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Oct 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689714164 NPPES
Ohio Other 000000217945 ANTHEM
Ohio MEDICAID 8674500 ANTHEM

Popular Providers