Individual
DR. JOANNA MARIE CULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662-6857
(503) 894-2725
(360) 326-2255
Mailing address
3300 MAIN ST UNIT 111, FOREST GROVE, OR 97116-3240
(503) 894-2725
(360) 325-4358
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2393
OR
103TC0700X
Clinical Psychologist
Primary
PY60482905
WA
Other
Enumeration date
04/18/2007
Last updated
03/04/2021
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