Individual
WILLIAM L MULLIGAN
Active
Individual
WILLIAM L MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031538
VALUE OPTIONS
—
01
—
089211, 37077
OPTIMAHEALTH
VA
01
—
11240084
CAQH
VA
01
—
172017, 267207
ANTHEM, BC/BS
VA
01
—
2149701
UBH
VA
01
—
2166701
CBH
VA
01
—
54-1088477
VIRGINIA HEALTH NETWORK
VA
01
—
54-1088477
TRICARE
—
Enumeration date
08/31/2005
Last updated
07/07/2012
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