Individual
DR. MICHAEL PATRICK MULLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
33 TOWER ST, SOMERVILLE, MA 02143-1426
(617) 591-4245
Mailing address
33 TOWER ST, SOMERVILLE, MA 02143-1426
(617) 591-4245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
3927
MA
103T00000X
Psychologist
023447
NY
103T00000X
Psychologist
Primary
11154
MA
103T00000X
Psychologist
PS1836
ME
Other
Enumeration date
08/14/2017
Last updated
05/05/2023
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