Individual
MAUREEN MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD., HSPP
Contact information
Practice address
8555 TAFT ST, MERRILLVILLE, IN 46410-6123
(219) 769-4005
Mailing address
4325 N ASHLAND AVE, CHICAGO, IL 60613-1091
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20042377A
IN
Other
Enumeration date
11/12/2007
Last updated
11/04/2009
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