Individual
ERIKA L MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
171 KEMPSVILLE RD, BUILDING A-1, NORFOLK, VA 23502-4700
(757) 668-6575
(757) 668-6588
Mailing address
6121 MONROE PL, NORFOLK, VA 23508-1248
(757) 200-5906
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003596
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09109854
ASHA
—
Enumeration date
06/21/2007
Last updated
07/08/2007
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