Mccullough, Alexis Ciccone
Mccullough, Alexis Ciccone is an sole proprietor health care provider with primary practice located at 7820 Baltusrol Blvd , Gainesville VA 20155-3270. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Mccullough, Alexis Ciccone can be contacted via phone (703) 468-2750.Contact Information
Primary practice address
7820 Baltusrol Blvd
Gainesville VA 20155-3270
Phone: (703) 468-2750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | Null |
Profile Details
| NPI number | 1336842061 |
|---|---|
| LBN Legal business name | Mccullough, Alexis Ciccone |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2023 |
| Last updated | Oct 1st, 2026 - about last week |
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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