Stephen James Mccullough in Winston Salem - Clinical Child & Adolescent
Stephen James Mccullough - NPI 1659326189
Stephen James Mccullough is a Clinical Child & Adolescent in Winston Salem, North Carolina. Stephen James Mccullough practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Stephen James Mccullough is 1659326189. The last update date is 2007-07-08.
Stephen James Mccullough's current location address is 1702 S Hawthorne Rd, Winston Salem, North Carolina. You can contact this provider via phone number 3366598301 and fax number 3366599361. The mailing address for Stephen James Mccullough is 1702 S Hawthorne Rd, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen James Mccullough |
|---|---|
| Address | 1702 S Hawthorne Rd, Winston Salem, North Carolina |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1659326189 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1702 S Hawthorne Rd |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271034016 |
| Phone Number | 3366598301 |
| Fax Number | 3366599361 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | 2319 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identification code issued to Stephen James Mccullough by the Centers for Medicare & Medicaid Services?
The Stephen James Mccullough has been assigned the NPI (National Provider Identifier) 1659326189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Stephen James Mccullough is physically located?
The Stephen James Mccullough is situated at the following address: 1702 S Hawthorne Rd, Winston Salem, NC 271034016.
What is Stephen James Mccullough's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stephen James Mccullough is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1659326189 to Stephen James Mccullough?
The Stephen James Mccullough received its 1659326189 assignment from the Centers for Medicare & Medicaid Services on 2006-05-23.
When was the information related to Stephen James Mccullough most recently updated or refreshed?
The details pertaining to the Stephen James Mccullough, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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