Mccullough, Stephanie Ann

Mccullough, Stephanie Ann is an sole proprietor health care provider with primary practice located at 302 Lawnview Way , Greensburg PA 15601-7727. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mccullough, Stephanie Ann can be contacted via phone (724) 787-6049.

Contact Information

Primary practice address
302 Lawnview Way Greensburg PA 15601-7727
Phone: (724) 787-6049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL007777 Pennsylvania

Profile Details

NPI number 1417170812
LBN Legal business name Mccullough, Stephanie Ann
Credentials MS CCC SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Sep 30th, 2014 - about 11 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 1417170812 NPPES
Pennsylvania MEDICAID 1012117000002

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