Individual
SUSAN TULLY
Active
Individual
SUSAN TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
—
225X00000X
Occupational Therapist
Primary
0623
AZ
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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