| Doctor Name: | MR. PHILIP ANDREW MULLETT |
| NPI Number: | 1528224318 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | S67881551 |
| Business Practice Address: | 50 Long Pond Dr South Yarmouth, MA - 026644180 |
| Business Phone Number: | 5087601475 |
| Business Fax Number: | 5087603719 |
| Mailing Address: | 50 Long Pond Dr, SOUTH YARMOUTH |
| State: | MA |
| Postal Code: | 026644180 |
| Phone Number: | 5087601475 |
| Fax Number: | 5087603719 |
| NPI Enumeration Date: | 08/01/2008 |
| NPI Last Update Date: | 08/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | S67881551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |