Organization
MCCULLOUGH SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MCCULLOUGH (OWNER)
(585) 764-1430
Entity
Organization
Contact information
Practice address
615 GREENWOOD RD, CHAPEL HILL, NC 27514-5921
(585) 764-1430
Mailing address
615 GREENWOOD RD, CHAPEL HILL, NC 27514-5921
(585) 764-1430
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023375078
—
NC
Enumeration date
08/24/2020
Last updated
08/27/2020
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