Individual
DR. DAVID C. LULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.S.S., PH.D.
Contact information
Practice address
18301 N 79TH AVE, SUITE C-133, GLENDALE, AZ 85308-8471
(623) 979-2424
(623) 979-2529
Mailing address
18301 NORTH 79TH AVENUE, SUITE C-133, GLENDALE, AZ 85308-8471
(623) 979-2424
(623) 979-2529
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1405
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1405
STATE LICENSE LCSW NUMBER
AZ
Enumeration date
07/10/2006
Last updated
09/11/2012
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