Provider Demographics
NPI:1851598668
Name:MULLIN, RICHARD PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:PATRICK
Last Name:MULLIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MON HEALTH MEDICAL PARK DR
Mailing Address - Street 2:STE 1202
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1143
Mailing Address - Country:US
Mailing Address - Phone:304-293-5251
Mailing Address - Fax:
Practice Address - Street 1:3040 UNIVERSITY AVE
Practice Address - Street 2:SUITE 3308
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3380
Practice Address - Country:US
Practice Address - Phone:304-293-5251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV236972084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry