Individual
DR. GAVIN MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
910 SKOKIE BLVD, 215, NORTHBROOK, IL 60062-4013
(847) 682-4514
(847) 291-0576
Mailing address
910 SKOKIE BLVD, 215, NORTHBROOK, IL 60062-4013
(847) 682-4514
(847) 291-0576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004627
IL
Other
Enumeration date
01/26/2007
Last updated
04/27/2011
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