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Contact Information

RAYMOND D MULLIGAN, PSYD, MBA
431 SNOWY EGRET LANE
KIAWAH ISLAND, SC29455
 Phone: 610-216-4736
 Fax: 610-867-5003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RAYMOND D MULLIGAN · (Male)

NPI Number 1265765994
Status Active
Credentials PSYD, MBA
Entity Individual
Enumeration date 09/14/2009
Last updated 08/31/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS016669
  • SC License # 1356
  • PA Other 12013691 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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