Individual
WILLIAM L MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1403 GREENBRIER PKWY, SUITE 215, CHESAPEAKE, VA 23320-0614
(757) 410-0700
(757) 222-3384
Mailing address
PO BOX 4085, VIRGINIA BEACH, VA 23454-0085
(757) 410-0700
(757) 222-3384
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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