Individual
DR. EBOKA MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
419 W REDWOOD ST STE 570, BALTIMORE, MD 21201-7023
(667) 214-1909
Mailing address
1800 N CHARLES ST STE 406, BALTIMORE, MD 21201-5909
(438) 353-8754
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
019927
NY
103T00000X
Psychologist
Primary
05295
MD
Other
Enumeration date
01/22/2015
Last updated
05/06/2022
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