Rd Mulligan LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS016669 Issued in PA

Legal business name

RD MULLIGAN LLC

Practice address

1 W Broad St
Suite 408
Bethlehem, PA 18018-5717

Phone

(610) 867-5001

Fax

(610) 867-5003

NPI assigned

Mar 19, 2013

Last updated

Mar 19, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raymond D Mulligan, PSYD

Title

Owner

Phone

(610) 867-5003

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1558603365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W BROAD ST",
            "address_2": "SUITE 408",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185717",
            "telephone_number": "610-867-5001",
            "fax_number": "610-867-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W BROAD ST",
            "address_2": "SUITE 408",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185717",
            "telephone_number": "610-867-5001",
            "fax_number": "610-867-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RD MULLIGAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-867-5003",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Ray, DO
• Gayatri Ray, BSL
• Gina Ray, LBS
• Kylie Ann Rayher
• Alina Razak
• Audrey Anne Ready, DO
• Michele Reardon
• Jacob Charles Reaser, PHARMD
• Jeffery P Reboul, DO
• Erin Carr Rectanus, LPC

• Psychologist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.