Provider Demographics
NPI:1962863845
Name:MULHERN PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:MULHERN PSYCHOTHERAPY, LLC
Other - Org Name:MAUREEN MULHERN, LICSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:MCNAMARA
Authorized Official - Last Name:MULHERN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:339-368-8466
Mailing Address - Street 1:7 CENTRAL ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-4800
Mailing Address - Country:US
Mailing Address - Phone:339-368-8466
Mailing Address - Fax:
Practice Address - Street 1:7 CENTRAL ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4800
Practice Address - Country:US
Practice Address - Phone:339-368-8466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1120161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty