Individual
SIDDIKA SAARA MULCHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
282 WASHINGTON ST, HARTFORD, CT 06106-3322
(860) 837-9630
(860) 837-9622
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY9957
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022264200
—
FL
Enumeration date
08/01/2017
Last updated
09/15/2022
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