| Organization Name: | THOMAS W. MULDARY, PH.D. AND PATRICIA M. MULDARY, PH.D. PC |
| NPI Number: | 1083770804 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA MULDARY (PRESIDENT) |
| Mailing Address: | 738 S Main St Suite 101 Adrian |
| State: | MI US |
| Postal Code: | 492213787 |
| Phone Number: | 5172638113 |
| Fax Number: | 5172653070 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 6301005770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |