| Doctor Name: | LEAH BRIANNE MULLEN |
| NPI Number: | 1053785410 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 118880 |
| Business Practice Address: | 125 Church St Ste 90-104 Pembroke, MA - 023591929 |
| Business Phone Number: | 7817546545 |
| Business Fax Number: | |
| Mailing Address: | 44 Ferncrest Dr, TAUNTON |
| State: | MA |
| Postal Code: | 027801212 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/23/2015 |
| NPI Last Update Date: | 11/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 118880 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |