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MR. SHANE J MULLEN LCP NPI 1174640742


NPI Information

NPI: 1174640742
Provider Name: MR. SHANE J MULLEN, LCP
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
2950 SW WOODSIDE DR
TOPEKA, KS
ZIP 66614
Phone: (785) 272-5134
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MR. Shane J Mullen, LCP is a clinical child and adolescent psychologist in Topeka, KS. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. MR. Shane J Mullen, LCP NPI is 1174640742. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2950 SW WOODSIDE DR
TOPEKA, KS
ZIP 66614-326
Phone: (785) 272-5134
Fax: (785) 272-4370

The enumeration date for this NPI number is 3/26/2007 and was last updated on 5/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist052KANSASNo
2103TC2200XPsychologistClinical Child & Adolescent052KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200434290BMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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