| Cullen Center | |
|
2150 W Central Ave 2nd Floor Toledo OH 43606-3846 | |
| (419) 291-7919 | |
| (419) 479-3272 |
| Full Name | Cullen Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2150 W Central Ave, Toledo, Ohio |
| Authorized Official Name and Position | Lorraine Mccune (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5675851964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cullen Center 1 Seagate # 800 Toledo OH 43604-1558 Ph: () - | Cullen Center 2150 W Central Ave 2nd Floor Toledo OH 43606-3846 Ph: (419) 291-7919 |
| NPI Number | 1083843031 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 02/03/2020 |
| Certification Date | 02/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083843031 | NPI | - | NPPES |
| 8822662 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E0005120 (Ohio) | Secondary |
| 103TC0700X | Psychologist - Clinical | 5415 (Ohio) | Primary |
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