Individual
JAMES ANTON MULICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
187 W SCHROCK RD, WESTERVILLE, OH 43081-2890
(614) 355-8315
(614) 355-8361
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4700
(614) 722-4718
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
3431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610940
BCMH
OH
05
—
0610940
—
OH
Enumeration date
07/26/2006
Last updated
07/08/2007
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