Cullen, Thomas Peter
Cullen, Thomas Peter is an sole proprietor health care provider with primary practice located at 123 South Cayuga St. #2 , Ithaca NY 14850. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Cullen, Thomas Peter can be contacted via phone (607) 379-2401.Contact Information
Primary practice address
123 South Cayuga St. #2
Ithaca NY 14850
Phone: (607) 379-2401
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R056382-1 | New York |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R056382-1 | New York |
Profile Details
NPI number | 1548481971 |
---|---|
LBN Legal business name | Cullen, Thomas Peter |
Credentials | LCSW-R |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 2nd, 2007 |
Last updated | Nov 6th, 2012 - about 12 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.
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