| Doctor Name: | DR. DANIEL JOSEPH MULLIN |
| NPI Number: | 1134378029 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 8905 |
| Business Practice Address: | 151 Worcester Rd Barre, MA - 010059002 |
| Business Phone Number: | 9783556321 |
| Business Fax Number: | 9783556329 |
| Mailing Address: | Po Box 415348, BOSTON |
| State: | MA |
| Postal Code: | 022415348 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/16/2008 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8905 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |