Provider Demographics
NPI:1588743231
Name:MULLEN, PAUL J (PSY D)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:MULLEN
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 LEGACY CIR STE 114
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1673
Mailing Address - Country:US
Mailing Address - Phone:630-653-1000
Mailing Address - Fax:630-653-1010
Practice Address - Street 1:1776 LEGACY CIR STE 114
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1673
Practice Address - Country:US
Practice Address - Phone:630-653-1000
Practice Address - Fax:630-653-1010
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist