Organization
CULLEN PSYCHOLOGICAL SERVICES, PC
Active
Other names
Thomas J. Cullen, Jr., Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J CULLEN JR. PH.D. (PRESIDENT, CLINICAL PSYCHOLOGIST)
(856) 228-5390
Entity
Organization
Contact information
Practice address
9331 OLD BUSTLETON AVE, SUITE 101, PHILADELPHIA, PA 19115-4634
(856) 228-5390
(856) 228-5390
Mailing address
80 BRYANT RD, TURNERSVILLE, NJ 08012-1446
(856) 228-5390
(856) 228-5390
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS002808L
PA
103TC0700X
Clinical Psychologist
Primary
PS002808L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0049406000
BLUE CROSS
PA
01
—
172351
BLUE SHIELD
PA
01
—
264826200
ACS OWCP FECA
PA
01
—
466239000
MAGELLAN BEHAVIORAL HEALT
PA
05
—
7579734
—
PA
01
—
P824454
OTHER
PA
Enumeration date
02/19/2007
Last updated
11/20/2009
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