Individual
DALLAS E MULVANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
2506 WILLOWBROOK PKWY STE 200, INDIANAPOLIS, IN 46205-1548
(317) 254-0435
(317) 252-2622
Mailing address
2506 WILLOWBROOK PKWY STE 200, INDIANAPOLIS, IN 46205-1548
(317) 254-0435
(317) 252-2622
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
20040892A
IN
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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