Organization
WILLIAM L MULLIGAN PHD PC
Active
Other names
Cognitive Behavior Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM L MULLIGAN PH.D. (PRESIDENT/OWNER)
(757) 410-0700
Entity
Organization
Contact information
Practice address
1403 GREENBRIER PKWY STE 215, CHESAPEAKE, VA 23320-0608
(757) 410-0700
(757) 222-3384
Mailing address
PO BOX 4805, VIRGINIA BEACH, VA 23454-0805
(757) 410-0700
(757) 222-3384
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810000729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C10849
MEDICARE PTAN
—
Enumeration date
04/20/2007
Last updated
07/07/2012
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