Mccullen, Stephannie
Mccullen, Stephannie is an individual health care provider with primary practice located at 35010 Chardon Rd Ste 200 , Willoughby Hills OH 44094-9011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mccullen, Stephannie can be contacted via phone (216) 342-5484.Contact Information
Primary practice address
35010 Chardon Rd Ste 200
Willoughby Hills OH 44094-9011
Phone: (216) 342-5484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW022859 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I.2304541 | Ohio |
Profile Details
| NPI number | 1417589458 |
|---|---|
| LBN Legal business name | Mccullen, Stephannie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2020 |
| Last updated | Jun 23rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417589458 | NPPES |
| Pennsylvania | Other | CW022859 | STATE LICENSE |
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