Healthcare Provider Details

I. General information

NPI: 1891709051
Provider Name (Legal Business Name): TERRY P MULLER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2640 WIND RIVER RD
CHARLOTTESVILLE VA
22901-8708
US

IV. Provider business mailing address

2640 WIND RIVER RD
CHARLOTTESVILLE VA
22901-8708
US

V. Phone/Fax

Practice location:
  • Phone: 434-296-2900
  • Fax: 434-296-2101
Mailing address:
  • Phone: 434-296-2900
  • Fax: 434-296-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810002298
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number0810002298
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: