Mullikin, Marcia Lynn

Mullikin, Marcia Lynn is an individual health care provider with primary practice located at 3641 Kimball Ave , Waterloo IA 50702-5757. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mullikin, Marcia Lynn can be contacted via phone (319) 236-8298.

Contact Information

Primary practice address
3641 Kimball Ave Waterloo IA 50702-5757
Fax: (319) 236-8298
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0037 Iowa

Profile Details

NPI number 1124090527
LBN Legal business name Mullikin, Marcia Lynn
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1124090527 NPPES
Iowa Other 159256 PROVIDER ID COMPSYCH
Iowa Other 269934 PROVIDER ID COMPSYCH

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