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

Ryan Mulligan, PHD

Individual provider Clinical Psychologist · NPI 1114766482

Ryan Mulligan, PHD is a Clinical Psychologist in Allentown, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Lehigh Valley Physician Group, a 2,493-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1250 S Cedar Crest Blvd Ste 450
Allentown, PA 18103-6224
Phone: (610) 402-8420
Fax: (610) 402-1689
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2100 Mack Blvd, Allentown, PA 18103 — (484) 884-4500

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS020104 (PA)

Record details

NPI number1114766482
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESAugust 8, 2024
Certification dateAugust 8, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lehigh Valley Physician Group — 2493 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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