William L Mulligan in Virginia Beach - Clinical
William L Mulligan - NPI 1063406478
William L Mulligan is a Clinical in Virginia Beach, Virginia. William L Mulligan practices all healthcare services and medical treatments related to Clinical. The NPI Number for William L Mulligan is 1063406478. The last update date is 2012-07-07.
William L Mulligan's current location address is Po Box 4085, Virginia Beach, Virginia. You can contact this provider via phone number 7574100700 and fax number 7572223384. The mailing address for William L Mulligan is Po Box 4085, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William L Mulligan |
|---|---|
| Address | Po Box 4085, Virginia Beach, Virginia |
| Phone Number | 7574100700 |
| Fax Number | 7572223384 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1063406478 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2012-07-07 |
Provider Mailing Address Detail
| Address | Po Box 4085 |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234540085 |
| Phone Number | 7574100700 |
| Fax Number | 7572223384 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 810000729 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 172017, 267207 | VA | ANTHEM, BC/BS | |
| 2149701 | VA | UBH | |
| 54-1088477 | TRICARE | ||
| 54-1088477 | VA | VIRGINIA HEALTH NETWORK | |
| 54-1088477 | VA | AETNA | |
| 31538 | VALUE OPTIONS | ||
| 089211, 37077 | VA | OPTIMAHEALTH | |
| 11240084 | VA | CAQH | |
| 2166701 | VA | CBH |
Post Comment/ Review Below
What is the unique identification code assigned to William L Mulligan by the Centers for Medicare & Medicaid Services?
The William L Mulligan has been issued the NPI (National Provider Identifier) 1063406478. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the William L Mulligan's physical address?
The William L Mulligan is physically located at Po Box 4085, in the city of Virginia Beach, VA, with the postal code 234540085.
What is William L Mulligan's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for William L Mulligan is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063406478 to William L Mulligan?
The Centers for Medicare & Medicaid Services originally issued the 1063406478 to William L Mulligan on 2005-08-31.
As of what date was the information regarding William L Mulligan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to William L Mulligan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-07-07.
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