| NPI | 1447562145 |
|---|---|
| Other Name | MICHAEL A. MAULDIN, PH.D.,LLC. |
| Entity Type | Organization |
| Authorized Contact | MICHAEL A MAULDIN Psychologist 575-937-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NM 1072) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2018-05-17 |