Kevin J Mccullough in Sherman Oaks - Clinical
Kevin J Mccullough - NPI 1619063682
Kevin J Mccullough is a Clinical in Sherman Oaks, California. Kevin J Mccullough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin J Mccullough is 1619063682. The last update date is 2007-07-08.
Kevin J Mccullough's current location address is 15456 Ventura Blvd, Sherman Oaks, California. You can contact this provider via phone number 8187839930 and fax number 8187839915. The mailing address for Kevin J Mccullough is 15456 Ventura Blvd, Sherman Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin J Mccullough |
|---|---|
| Address | 15456 Ventura Blvd, Sherman Oaks, California |
| Phone Number | 8187839930 |
| Fax Number | 8187839915 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1619063682 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15456 Ventura Blvd |
|---|---|
| City | Sherman Oaks |
| State | California (CA) |
| Post Code | 914033018 |
| Phone Number | 8187839930 |
| Fax Number | 8187839915 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY17554 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Kevin J Mccullough?
The Kevin J Mccullough has been issued the NPI (National Provider Identifier) 1619063682 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kevin J Mccullough's facilities are situated?
The facilities of Kevin J Mccullough are physically located at the following address: 15456 Ventura Blvd, Sherman Oaks, CA, 914033018.
What is the Kevin J Mccullough's area of specialization and corresponding taxonomy classification?
The Kevin J Mccullough's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
On what date did Kevin J Mccullough receive its 1619063682 assignment from the Centers for Medicare & Medicaid Services?
The Kevin J Mccullough was assigned its 1619063682 on 2006-10-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kevin J Mccullough's details last updated?
The information pertaining to the Kevin J Mccullough, including its address, specialty, and other details, was most recently updated on 2007-07-08.