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WILLIAM MCMULLEN PHD

Clinical Neuropsychologist

San Francisco, California

Provider NPI: 1063440188

Provider Information:
 WILLIAM  MCMULLEN PHD
Gender: M
Sole Proprietor


Practice Location:
2100 WEBSTER ST STE 115 SAN FRANCISCO, CA 94115 US
Tel: 650-270-1452  Fax: --

Business Mailing Address:
1 BAYWOOD AVENUE STE 7  SAN MATEO, CA 94402 US
Tel: 650-344-6961  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CAPSY15879

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELD NUMBEROPL158791CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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