Individual
DR. JILL MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7910 WOODMONT AVE STE 1101, BETHESDA, MD 20814-7059
(202) 486-5552
Mailing address
7910 WOODMONT AVE STE 1101, BETHESDA, MD 20814-7059
(301) 221-1591
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
04555
MD
103TC2200X
Clinical Child & Adolescent Psychologist
04555
MD
Other
Enumeration date
07/12/2019
Last updated
08/21/2019
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