Shane J Mullen in Topeka - Clinical Child & Adolescent
Shane J Mullen - NPI 1174640742
Shane J Mullen is a Clinical Child & Adolescent in Topeka, Kansas. Shane J Mullen practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Shane J Mullen is 1174640742. The last update date is 2015-05-29.
Shane J Mullen's current location address is 2950 Sw Woodside Dr, Topeka, Kansas. You can contact this provider via phone number 7852725134 and fax number 7852724370. The mailing address for Shane J Mullen is 2950 Sw Woodside Dr, Topeka, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane J Mullen |
|---|---|
| Address | 2950 Sw Woodside Dr, Topeka, Kansas |
| Phone Number | 7852725134 |
| Fax Number | 7852724370 |
| Sole Proprietor | N |
| Credentials | LCP |
NPI Number Detail
| NPI Number | 1174640742 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2015-05-29 |
Provider Mailing Address Detail
| Address | 2950 Sw Woodside Dr |
|---|---|
| City | Topeka |
| State | Kansas (KS) |
| Post Code | 666145326 |
| Phone Number | 7852725134 |
| Fax Number | 7852724370 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 52 |
|
Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200434290B | KS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Shane J Mullen by the Centers for Medicare & Medicaid Services?
The Shane J Mullen has been assigned the NPI (National Provider Identifier) 1174640742. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shane J Mullen?
The Shane J Mullen is situated at 2950 Sw Woodside Dr, in the city of Topeka, state of KS, with the zip code 666145326.
What is Shane J Mullen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane J Mullen is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
When did Shane J Mullen receive its 1174640742 assignment?
The Shane J Mullen was assigned its 1174640742 on 2007-03-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Shane J Mullen most recently updated?
The details pertaining to the Shane J Mullen, including its address, specialty, and other relevant information, were last refreshed on 2015-05-29.
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