Provider Demographics
NPI:1497320972
Name:MULLINS, PAMELA J
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:J
Last Name:MULLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:J
Other - Last Name:BULOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:81 MATAWANAKEE TRL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1310
Mailing Address - Country:US
Mailing Address - Phone:603-315-0424
Mailing Address - Fax:
Practice Address - Street 1:20 WHITFORD RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1437
Practice Address - Country:US
Practice Address - Phone:603-966-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH903103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical