Mulvey, Marina Marie

Mulvey, Marina Marie is an individual health care provider with primary practice located at 4725 Hoen Avenue Suite B, Santa Rosa CA 95405-9405. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Mulvey, Marina Marie can be contacted via phone (707) 542-1154.

Contact Information

Primary practice address
4725 Hoen Avenue Suite B Santa Rosa CA 95405-9405
Phone: (707) 542-1154
Fax: (707) 542-4818
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU1683 California
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X HA3313 California

Profile Details

NPI number 1497898043
LBN Legal business name Mulvey, Marina Marie
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Apr 26th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497898043 NPPES
California MEDICAID AU0016830

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