Individual
DR. RAYMOND DAVID MULLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, MBA
Contact information
Practice address
431 SNOWY EGRET LANE, KIAWAH ISLAND, SC 29455
(610) 216-4736
(610) 867-5003
Mailing address
431 SNOWY EGRET LANE, R D MULLIGAN, LLC, KIAWAH ISLAND, SC 29455
(610) 216-4736
(610) 867-5003
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1356
SC
103T00000X
Psychologist
PS016669
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12013691
CAQH
PA
Enumeration date
09/14/2009
Last updated
08/31/2015
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