Individual
JACQUELINE CULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
400 W CUMMINGS PARK, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
927 MANOR LN, BAY SHORE, NY 11706-7526
(631) 661-5995
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016157
NY
Other
Enumeration date
06/26/2007
Last updated
06/27/2008
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