| Robin J Mullican, Psyd, Llc | |
|
6851 Oak Hall Ln Suite 118 Columbia MD 21045-5846 | |
| (443) 847-0100 | |
| Not Available |
| Full Name | Robin J Mullican, Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6851 Oak Hall Ln, Columbia, Maryland |
| Authorized Official Name and Position | Robin J Mullican (LICENSED PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 4438470100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robin J Mullican, Psyd, Llc Po Box 6234 Columbia MD 21045-6234 Ph: (443) 847-0100 | Robin J Mullican, Psyd, Llc 6851 Oak Hall Ln Suite 118 Columbia MD 21045-5846 Ph: (443) 847-0100 |
| NPI Number | 1326590647 |
|---|---|
| Provider Enumeration Date | 11/03/2016 |
| Last Update Date | 11/03/2016 |
| Medicare PECOS PAC ID | 1254616857 |
|---|---|
| Medicare Enrollment ID | O20170322001583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326590647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 04066 (Maryland) | Primary |
| 103TC0700X | Psychologist - Clinical | 04066 (Maryland) | Secondary |
| Provider Name | Robin J Mullican |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740204650 PECOS PAC ID: 2466411616 Enrollment ID: I20041005000353 |
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