Richard Mulrenin
Psychologist
120 Hospital Dr Ste 100
Lebanon
, Missouri 65536-9238
Richard Mulrenin
Psychologist
120 Hospital Dr Ste 100
Lebanon
, Missouri 65536-9238
(417) 829-4620
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Richard Mulrenin
- Po Box 2580
- Springfield, MO
- Zip : 65801-2580
- Phone : (417) 829-4620
Second Address
- Richard Mulrenin
- 120 Hospital Dr Ste 100
- Lebanon, MO
- Zip : 65536-9238
- Fax : (417) 533-6755
- Phone : (417) 533-6751
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | 2011028486 | MO |
| Y | 103T00000X | Psychologist | 2011028486 | MO |
National Provider Identifier
| NPI | 1013228071 |
|---|---|
| Provider Name | Richard Mulrenin |
| First Address | Springfield, MO 65801-2580 |
| Second Address | Lebanon, MO 65536-9238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2010 |
| Last Update Date | 22/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1013228071 | (05) | MO |
| 431560263 | TRICARE (01) | MO |
| P01137838 | MCR RR (01) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.