Tullman, Gerald

Tullman, Gerald is an individual health care provider with primary practice located at 77 West Port Plaza Suite 360, St Louis MO 63146. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Tullman, Gerald can be contacted via phone (314) 576-5503.

Contact Information

Primary practice address
77 West Port Plaza Suite 360 St Louis MO 63146
Phone: (314) 576-5503
Fax: (314) 872-7853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 00596 Missouri
Behavioral Health & Social Service Providers / Clinical 103TC0700X 00596 Missouri
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 00596 Missouri
Behavioral Health & Social Service Providers / Family 103TF0000X 00596 Missouri

Profile Details

NPI number 1871707182
LBN Legal business name Tullman, Gerald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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