Individual
MR. JACKSON FAYETTE MCCULLOUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
1732 ATKINSON ST, NEW CASTLE, PA 16101-1302
(724) 730-3414
Mailing address
1732 ATKINSON ST, NEW CASTLE, PA 16101-1302
(724) 730-3414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL001608L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19311180003
—
PA
Enumeration date
06/21/2007
Last updated
07/09/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us