Individual
MR. ROBERT CLIFFORD MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
(508) 760-3719
Mailing address
104 EDGEMERE RD, SOUTH DENNIS, MA 02660-3110
(512) 955-1557
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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