Individual
MR. BRIAN THOMAS MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
34225 N 27TH DR STE 140, PHOENIX, AZ 85085-6090
(602) 492-3692
(602) 698-9668
Mailing address
34225 N 27TH DR STE 140, PHOENIX, AZ 85085-6090
(602) 492-3692
(602) 698-9668
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
241813
AZ
Other
Enumeration date
06/03/2020
Last updated
02/06/2025
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