Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SHANE J MULLEN, LCP
ActiveMR. SHANE J MULLEN, LCP is a Child, Clinical Psychologist healthcare provider located in TOPEKA, Kansas. NPI 1174640742 is currently active in the NPPES registry. Verify at CMS.
Child, Clinical Psychologist · TOPEKA, KS
Registration Details
- NPI Number
- 1174640742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 26, 2007 (19.416088480877 yrs)
- Last Updated
- May 29, 2015
- Licenses
-
052 (KS)052 (KS)
Practice Information
- Address
-
2950 SW WOODSIDE DRTOPEKA, KS, 666145326Browse KS providers · Browse ZIP 66614
- Phone
- 7852725134
- Fax
- 7852724370
- Primary Specialty
-
Child, Clinical Psychologist
103TC2200X
- Additional Specialty
- Psychologist
Other Child, Clinical Psychologist Providers in TOPEKA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. JANELLE MARIE TIDEMANN | LCP | 1437344694 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.