Tully, Carrie E
Tully, Carrie E is an individual health care provider with primary practice located at 111 Michigan Ave Nw , Washington DC 20010-2916. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Tully, Carrie E can be contacted via phone (202) 476-5000.Contact Information
Primary practice address
111 Michigan Ave Nw
Washington DC 20010-2916
Phone: (202) 476-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X |
Profile Details
| NPI number | 1215292768 |
|---|---|
| LBN Legal business name | Tully, Carrie E |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2012 |
| Last updated | Oct 4th, 2017 - about 9 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 | 1215292768 | NPPES |
| Virginia | MEDICAID | 004945182 |
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