MR. Jackson Fayette Mccullough JR., B.S.
NPI #1033314760 in New Castle, Pennsylvania
Provider Information
- NPI Number
- 1033314760
- Entity Type
- Individual
- Name
- MR. Jackson Fayette Mccullough JR., B.S.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- B.S.
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1732 ATKINSON ST
- City
- New Castle
- State
- Pennsylvania
- ZIP Code
- 16101-1302
- Phone
- (724) 730-3414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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