Mullin, James Patrick

Mullin, James Patrick is an individual health care provider with primary practice located at 1315 Jesse Jewell Pkwy Ne Ste 300 , Gainesville GA 30501. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mullin, James Patrick can be contacted via phone (770) 219-9611.

Contact Information

Primary practice address
1315 Jesse Jewell Pkwy Ne Ste 300 Gainesville GA 30501
Phone: (770) 219-9611
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002531 Georgia
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY002531 Georgia

Profile Details

NPI number 1023176369
LBN Legal business name Mullin, James Patrick
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2006
Last updated Oct 8th, 2021 - about 3 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 1023176369 NPPES
Georgia MEDICAID 000964323A
Georgia MEDICAID 000964323B

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