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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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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