Individual
DR. THOMAS ROBERT MULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 FOOTHILL BLVD, MAIL CODE: 116 OP, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2154
Mailing address
500 FOOTHILL BLVD, MAIL CODE: 116 OP, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
(801) 584-2154
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5950078-2504
UT
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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