Organization
JEFFREY M. DULIN PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY MATTHEW DULIN PH. D (PSYCHOLOGIST)
(706) 339-3783
Entity
Organization
Contact information
Practice address
4304 ADOBE DR, KILLEEN, TX 76542-7517
(706) 339-3783
Mailing address
4304 ADOBE DR, KILLEEN, TX 76542-7517
(706) 339-3783
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002544
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000928782A
—
GA
Enumeration date
12/27/2006
Last updated
11/21/2012
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