Provider Demographics
NPI:1154404663
Name:MULHALL, PATRICK N (PHD,LCSW,PA)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:N
Last Name:MULHALL
Suffix:
Gender:M
Credentials:PHD,LCSW,PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3475 SHERIDAN ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-3663
Mailing Address - Country:US
Mailing Address - Phone:954-894-8024
Mailing Address - Fax:954-894-8094
Practice Address - Street 1:3475 SHERIDAN ST
Practice Address - Street 2:SUITE 312
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-3663
Practice Address - Country:US
Practice Address - Phone:954-894-8024
Practice Address - Fax:954-894-8094
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00044411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical