Individual
GARY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D,CCC-SLP
Contact information
Practice address
400 UNIVERSITY HALL DR, ROOM 216, BOONE, NC 28608-2102
(828) 262-7675
(828) 262-7680
Mailing address
400 UNIVERSITY HALL DR, ROOM 216, BOONE, NC 28608-2102
(828) 262-7675
(828) 262-7680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11215
NC
Other
Enumeration date
04/24/2015
Last updated
04/27/2015
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