Individual
TAMMY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN,CHC
Contact information
Practice address
1349 BEVERLY HILLS RD, COOPERSBURG, PA 18036-1852
(610) 972-6847
Mailing address
1349 BEVERLY HILLS RD, COOPERSBURG, PA 18036-1852
(610) 972-6847
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005730
PA
Other
Enumeration date
09/16/2015
Last updated
08/23/2021
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