Provider Demographics
NPI:1154031573
Name:MULERO SEGUI, ADNIL-MICHELLE (PHD)
Entity type:Individual
Prefix:
First Name:ADNIL-MICHELLE
Middle Name:
Last Name:MULERO SEGUI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2716 BARTON CREEK BLVD APT 322
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-1670
Mailing Address - Country:US
Mailing Address - Phone:787-487-5533
Mailing Address - Fax:
Practice Address - Street 1:2716 BARTON CREEK BLVD APT 322
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-1670
Practice Address - Country:US
Practice Address - Phone:787-487-5533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-28
Last Update Date:2022-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX39554103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical