Individual
DR. MARK G TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4150 BELDEN VILLAGE ST NW, SUITE 110, CANTON, OH 44718-2595
(330) 492-8383
(330) 492-6530
Mailing address
7165 QUEENSGATE ST NW, CANTON, OH 44718-1597
(330) 830-9302
(330) 492-6530
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4379
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0961231
—
OH
Enumeration date
12/28/2006
Last updated
07/08/2007
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