Cullen, Andrea Lynn
Cullen, Andrea Lynn is an sole proprietor health care provider with primary practice located at 301 Loma Colorado St Ne , Rio Rancho NM 87124-6562. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cullen, Andrea Lynn can be contacted via phone (505) 896-5882.Contact Information
Primary practice address
301 Loma Colorado St Ne
Rio Rancho NM 87124-6562
Phone: (505) 896-5882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-3767 | New Mexico |
| Behavioral Health & Social Service Providers / School | 1041S0200X | M3767 | New Mexico |
Profile Details
| NPI number | 1952440737 |
|---|---|
| LBN Legal business name | Cullen, Andrea Lynn |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952440737 | NPPES |
| New Mexico | MEDICAID | 31902022 |
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