Active NPIIndividual providerSole proprietor

Dr. Robert W Mullaly, PHD

Psychologist, Clinical in Marblehead, Massachusetts

NPI Number1922218080
Practice location
40 South St, Suite 104, Marblehead, MA 01945-3282
Fax
781-639-0100
Last updated
July 8, 2007

Robert William Mullaly is a Psychologist, Clinical based in Marblehead, MA. Robert William Mullaly practices in Marblehead, MA and has the professional credentials of PHD. The NPI Number for Robert William Mullaly is 1922218080 and holds a License No. 3310 (MA). The current practice location address for Robert William Mullaly is 40 South St, Suite 104, Marblehead, MA 01945-3282 and can be reached out via phone at 781-631-2114 and via fax at 781-639-0100.

Provider Profile Details

NPI Number
1922218080
Provider Name
Robert William Mullaly
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
40 South St, Suite 104, Marblehead, MA 01945-3282
Phone Number
781-631-2114
Fax Number
781-639-0100
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 South St
Suite 104
Marblehead, MA 01945-3282
Zip
01945-3282
Phone Number
781-631-2114
Fax Number
781-639-0100
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
40 South St
Suite 104
Marblehead, MA 01945-3282
City
Marblehead
State
MA
Zip
01945-3282
Phone Number
781-631-2114
Fax Number
781-639-0100

License Information

License Number
3310
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert W Mullaly, PHD?

The NPI number of Dr. Robert W Mullaly, PHD is 1922218080. It was assigned on May 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert W Mullaly, PHD?

Dr. Robert W Mullaly, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3310.

Where does Dr. Robert W Mullaly, PHD practice?

The practice location is 40 South St, Suite 104, Marblehead, MA 01945-3282. The office can be reached at 781-631-2114 (phone) or 781-639-0100 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922218080 directly on the NPPES registry website.

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