Kalista Makenzie McMullin
Speech-Language Pathologist, in St George, UT. Individual provider (NPI-1).
NPI number1629798707
StatusActive
Last updated in NPPESAug 30, 2022
Details
- NPI
- 1629798707
- Entity type
- Individual (NPI-1)
- Name
- Kalista Makenzie McMullin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2022
- Certification date
- Aug 30, 2022
- Last updated
- Aug 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 12975313-4104 | UT | Yes |
Practice location
168 N 100 E Ste 225St George, UT 84770-2893
Phone 435-669-4109
Mailing address
1751 Red Mountain DrSanta Clara, UT 84765-5201
Phone 435-669-4109
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All 54 Speech-Language Pathologist providers in St George · All 4,873 providers in St George
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