Mccullagh, Patricia Ann

Mccullagh, Patricia Ann is an individual health care provider with primary practice located at 7205 Main St Suite #3, Manchester Center VT 05255-9312. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccullagh, Patricia Ann can be contacted via phone (802) 366-9122.

Contact Information

Primary practice address
7205 Main St Suite #3 Manchester Center VT 05255-9312
Phone: (802) 366-9122
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 048-0000786 Vermont

Profile Details

NPI number 1255361267
LBN Legal business name Mccullagh, Patricia Ann
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Mar 31st, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255361267 NPPES
Vermont MEDICAID 1007296
Vermont Other VN359401
Vermont Other 383797

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