Individual
BRIDGET ANNE MCCULLOUGH-FAVELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, NCSP
Contact information
Practice address
1831 OLIVER ST, WHITING, IN 46394-1766
(219) 659-0738
Mailing address
1500 CENTER ST, WHITING, IN 46394-1762
(219) 659-0738
(213) 473-1343
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
10228620
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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