Mccullough, Tiffany Lynn
Mccullough, Tiffany Lynn is an individual health care provider with primary practice located at 2508 Se 20Th St , Bentonville AR 72712-4008. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccullough, Tiffany Lynn can be contacted via phone (479) 273-9088.Contact Information
Primary practice address
2508 Se 20Th St
Bentonville AR 72712-4008
Phone: (479) 273-9088
Fax: (479) 845-2111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2096-C | Texas |
Profile Details
| NPI number | 1780709584 |
|---|---|
| LBN Legal business name | Mccullough, Tiffany Lynn |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| 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.
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