Cullen, Tracy A.

Cullen, Tracy A. is an individual health care provider with primary practice located at 31 Industrial Blvd , Medford NY 11763-2220. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cullen, Tracy A. can be contacted via phone (631) 924-4411.

Contact Information

Primary practice address
31 Industrial Blvd Medford NY 11763-2220
Phone: (631) 924-4411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 074269-1 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 077204-1 New York

Profile Details

NPI number 1265646087
LBN Legal business name Cullen, Tracy A.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Mar 31st, 2010 - about 14 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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