Mccullough, Mona
Mccullough, Mona is an individual health care provider with primary practice located at 13301 N Meridian Ave Bldg 100, Oklahoma City OK 73120-9369. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Mccullough, Mona can be contacted via phone (405) 752-9500.Contact Information
Primary practice address
13301 N Meridian Ave Bldg 100
Oklahoma City OK 73120-9369
Phone: (405) 752-9500
Fax: (405) 752-9571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 814 | Oklahoma |
Profile Details
| NPI number | 1710935010 |
|---|---|
| LBN Legal business name | Mccullough, Mona |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710935010 | NPPES |
| Oklahoma | Other | 7342420 | AETNA |
| Oklahoma | Other | 23727800173120A029 | AETNA |
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