| Rd Mulligan Llc | |
|
1 W Broad St Suite 408 Bethlehem PA 18018-5717 | |
| (610) 867-5001 | |
| (610) 867-5003 |
| Full Name | Rd Mulligan Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 W Broad St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Raymond D Mulligan (OWNER) |
| Authorized Official Contact | 6108675003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rd Mulligan Llc 1 W Broad St Suite 408 Bethlehem PA 18018-5717 Ph: (610) 867-5001 | Rd Mulligan Llc 1 W Broad St Suite 408 Bethlehem PA 18018-5717 Ph: (610) 867-5001 |
| NPI Number | 1558603365 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558603365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016669 (Pennsylvania) | Primary |
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