| Doctor Name: | DR. CONNOR PATRICK MULCAHEY |
| NPI Number: | 1033175500 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SOCIAL WORKER |
| License Number: | 004638 |
| Business Practice Address: | Psc 831 Box 0027 Fpo, AE - 09363 |
| Business Phone Number: | 3118244539 |
| Business Fax Number: | |
| Mailing Address: | 6409 Westcreek Dr, FT WORTH |
| State: | TX |
| Postal Code: | 761334328 |
| Phone Number: | 6822241145 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2006 |
| NPI Last Update Date: | 09/24/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 004638 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |