Bridget Anne Mccullough-Favela, EDS, NCSP

NPI #1407673890 in Whiting, Indiana

Provider Information

NPI Number: 1407673890
Entity Type: Individual
Name: Bridget Anne Mccullough-Favela, EDS, NCSP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Credential: EDS, NCSP
Enumeration Date: Sep 25, 2024
Last Updated: Sep 25, 2024

Practice Location

Address: 1831 OLIVER ST
City: Whiting
State: Indiana
ZIP Code: 46394-1766
Phone: (219) 659-0738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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