Individual
DR. STEPHEN JAMES MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1702 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 659-8301
(336) 659-9361
Mailing address
1702 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 659-8301
(336) 659-9361
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2319
NC
Other
Enumeration date
05/23/2006
Last updated
07/08/2007
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