Mulligan, Raymond David

Mulligan, Raymond David is an sole proprietor health care provider with primary practice located at 431 Snowy Egret Lane , Kiawah Island SC 29455. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Mulligan, Raymond David can be contacted via phone (610) 216-4736.

Contact Information

Primary practice address
431 Snowy Egret Lane Kiawah Island SC 29455
Fax: (610) 867-5003
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1356 South Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS016669 Pennsylvania

Profile Details

NPI number 1265765994
LBN Legal business name Mulligan, Raymond David
Credentials PSYD, MBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Aug 31st, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265765994 NPPES
Pennsylvania Other 12013691 CAQH

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