Individual
DR. MICHAEL A MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
154 ANYA RD, CORRALES, NM 87048
(575) 937-6458
(575) 257-5037
Mailing address
154 ANYA RD, CORRALES, NM 87048-8581
(575) 937-6458
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
23088
TX
103TC1900X
Counseling Psychologist
Primary
1072
NM
Other
Enumeration date
03/06/2009
Last updated
05/17/2018
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