Malcolm Mccullough

NPI #1689897027 in Malverne, New York

Provider Information

NPI Number: 1689897027
Entity Type: Individual
Name: Malcolm Mccullough
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 51 LAWRENCE AVE
City: Malverne
State: New York
ZIP Code: 11565-1406
Phone: (516) 456-1363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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