| William L Mulligan Phd Pc | |
|
1403 Greenbrier Pkwy Ste 215 Chesapeake VA 23320-0608 | |
| (757) 410-0700 | |
| (757) 222-3384 |
| Full Name | William L Mulligan Phd Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1403 Greenbrier Pkwy Ste 215, Chesapeake, Virginia |
| Authorized Official Name and Position | William L Mulligan (PRESIDENT/OWNER) |
| Authorized Official Contact | 7574100700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William L Mulligan Phd Pc Po Box 4805 Virginia Beach VA 23454-0805 Ph: (757) 410-0700 | William L Mulligan Phd Pc 1403 Greenbrier Pkwy Ste 215 Chesapeake VA 23320-0608 Ph: (757) 410-0700 |
| NPI Number | 1336366061 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 07/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336366061 | NPI | - | NPPES |
| C10849 | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810000729 (Virginia) | Primary |
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