Doctor Name: | DONNA-LEE MCMULLEN |
NPI Number: | 1174668719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110669 |
Business Practice Address: | 2 Oak Street Suite 201 Mashpee, MA - 02649 |
Business Phone Number: | 5085390221 |
Business Fax Number: | 5085390221 |
Mailing Address: | Po Box 494, MASHPEE |
State: | MA |
Postal Code: | 026490494 |
Phone Number: | 5085390221 |
Fax Number: | 5085390221 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 110669 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |