Individual
BENJAMIN CHARLES MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
13123 E. 16TH AVENUE, THE CHILDRENS HOSPITAL, AURORA, CO 80045-2545
(720) 777-1234
Mailing address
PO BOX 110429, UNIVERSITY PHYSICIANS, INC., AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY-3676
CO
Other
Enumeration date
09/10/2007
Last updated
09/12/2012
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