Individual
KATHLEEN MULRENIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
61 MAIN ST STE 64, BANGOR, ME 04401-8300
(207) 470-0571
(877) 320-4344
Mailing address
61 MAIN ST STE 64, BANGOR, ME 04401-8300
(207) 470-0571
(877) 320-4344
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS1035
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999020301
—
ME
Enumeration date
11/15/2005
Last updated
03/01/2016
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