Individual
SARA POIRIER CULLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
355 W 16TH ST STE 4800, INDIANAPOLIS, IN 46202-2392
(317) 963-7288
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01085063A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11019312A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11019312A
INDIANA PROFESSIONAL LICENSING AGENCY
IN
Enumeration date
06/03/2017
Last updated
11/30/2021
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