Individual
WENDY ANN MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4447 S CANYON RD, SUITE # 5, RAPID CITY, SD 57702-1807
(605) 412-4443
(605) 385-0035
Mailing address
4447 S CANYON RD STE 5, RAPID CITY, SD 57702-1889
(605) 412-4443
(605) 385-0035
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
535
SD
103TC0700X
Clinical Psychologist
PSY.0003913
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47689321
—
CO
05
—
6553550
—
SD
Enumeration date
03/20/2007
Last updated
11/17/2025
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