Provider Demographics
NPI:1710638739
Name:MULIERI, THERESA D (MA)
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:D
Last Name:MULIERI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:THERESA
Other - Middle Name:
Other - Last Name:MULIERI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:9 FANNIES MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21158-4406
Mailing Address - Country:US
Mailing Address - Phone:443-913-6331
Mailing Address - Fax:
Practice Address - Street 1:9 FANNIES MEADOW CT
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21158-4406
Practice Address - Country:US
Practice Address - Phone:443-913-6331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health