Individual
MR. GERARD MATTHEW TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
15 FURLER ST, TOTOWA, NJ 07512-1844
(973) 890-9180
(973) 890-9078
Mailing address
38-46 WILSON ST, FAIR LAWN, NJ 07410-4906
(201) 796-0195
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37F100105800
NJ
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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