Individual
LARRY L MULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
940 NE 13TH ST, MRI 3000, OKLAHOMA CITY, OK 73104-5008
(405) 271-4412
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
439
OK
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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