Individual
PATRICIA MULDARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
738 S MAIN ST, SUITE 101, ADRIAN, MI 49221-3787
(517) 263-8113
(517) 265-3070
Mailing address
738 S MAIN ST, SUITE 101, ADRIAN, MI 49221-3787
(517) 263-8113
(517) 265-3070
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301005770
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
680D64503
BLUE CROSS GROUP PIN
MI
01
—
680D64505
BLUE CROSS PIN
MI
Enumeration date
12/28/2006
Last updated
07/08/2007
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