Individual
SAMANTHA LEE MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
408 BELLEVIEW DR SE, CLEVELAND, TN 37323-7565
(423) 453-3359
Mailing address
408 BELLEVIEW DR SE, CLEVELAND, TN 37323-7565
(234) 533-3594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5811
TN
Other
Enumeration date
09/03/2013
Last updated
08/20/2024
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