| Patrick Mulhall, Ph.d,lcsw,pa | |
|
3475 Sheridan St Ste 312 Hollywood FL 33021-3660 | |
| (954) 894-8024 | |
| (954) 894-8094 |
| Full Name | Patrick Mulhall, Ph.d,lcsw,pa |
|---|---|
| Speciality | Social Worker |
| Location | 3475 Sheridan St Ste 312, Hollywood, Florida |
| Authorized Official Name and Position | Patrick Mulhall (OWNER) |
| Authorized Official Contact | 9548948024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Mulhall, Ph.d,lcsw,pa 3475 Sheridan St Ste 312 Hollywood FL 33021-3660 Ph: (954) 894-8024 | Patrick Mulhall, Ph.d,lcsw,pa 3475 Sheridan St Ste 312 Hollywood FL 33021-3660 Ph: (954) 894-8024 |
| NPI Number | 1427355361 |
|---|---|
| Provider Enumeration Date | 02/11/2011 |
| Last Update Date | 02/11/2011 |
| Medicare PECOS PAC ID | 3870770977 |
|---|---|
| Medicare Enrollment ID | O20110526000428 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427355361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW0004441 (Florida) | Primary |
| Provider Name | Patrick Mulhall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154404663 PECOS PAC ID: 9032396130 Enrollment ID: I20110610000521 |
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