Individual
LISA JEANNE MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5154
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3317
CO
Other
Enumeration date
04/06/2007
Last updated
05/20/2009
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