Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Shane J Mullen, LCP

Individual provider Clinical Child & Adolescent Psychologist · NPI 1174640742

Mr. Shane J Mullen, LCP is a Clinical Child & Adolescent Psychologist in Topeka, Kansas. Licensed in Kansas. Registered with an NPI since 2007.

Licensed in
KS
In the registry since
2007
Specialties on file
2

Practice location Address checks out

2950 SW Woodside Dr
Topeka, KS 66614-5326
Phone: (785) 272-5134
Fax: (785) 272-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 052 (KS)
Psychologist Taxonomy 103T00000X · Licence 052 (KS)

Record details

NPI number1174640742
Entity typeIndividual (Type 1)
GenderMale
Credentials LCP
Sole proprietorNo
NPI enumeratedMarch 26, 2007
Last updated in NPPESMay 29, 2015

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