Provider Demographics
NPI:1952748949
Name:MULHOLLAND, M PATRICIA (MA, MT-BC)
Entity Type:Individual
Prefix:MS
First Name:M
Middle Name:PATRICIA
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-7562
Mailing Address - Country:US
Mailing Address - Phone:207-467-3372
Mailing Address - Fax:
Practice Address - Street 1:7 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-7562
Practice Address - Country:US
Practice Address - Phone:207-467-3372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA09766174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist