Individual
DR. PAUL H. TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
400 COLLEGE DR STE 200, MIDDLEBURG, FL 32068-8525
(904) 213-2700
Mailing address
1500 CALMING WATER DR UNIT 2606, FLEMING ISLAND, FL 32003-3470
(865) 332-6999
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019014
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14646411
CCBH
PA
Enumeration date
08/02/2013
Last updated
05/19/2021
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