Active NPIIndividual providerSole proprietor

Jennifer Mccullum, S/L PATHOLOGIST

Speech-Language Pathologist, in Gray, Maine

NPI Number1326355033
Practice location
14 Shaker Road, Gray, ME 04039
Fax
—
Last updated
September 2, 2010

Jennifer Mccullum is a Speech-Language Pathologist, based in Gray, ME. Jennifer Mccullum practices in Gray, ME and has the professional credentials of S/L PATHOLOGIST. The NPI Number for Jennifer Mccullum is 1326355033 and holds a License No. ME1650 (ME). The current practice location address for Jennifer Mccullum is 14 Shaker Road, Gray, ME 04039 and can be reached out via phone at 207-657-2066.

Provider Profile Details

NPI Number
1326355033
Provider Name
Jennifer Mccullum
Credential
S/L PATHOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
14 Shaker Road, Gray, ME 04039
Phone Number
207-657-2066
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 2, 2010
Last Update Date
September 2, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
14 Shaker Road
Gray, ME 04039
City
Gray
State
Maine
Zip
04039
Phone Number
207-657-2066
Gray, ME 04039Get directions →

Provider Business Mailing Address Details

Address
110 Pennell Avenue
Portland, ME 04039
City
Portland
State
ME
Zip
04039
Phone Number
207-773-2507

License Information

License Number
ME1650
License State
ME
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jennifer Mccullum, S/L PATHOLOGIST?

The NPI number of Jennifer Mccullum, S/L PATHOLOGIST is 1326355033. It was assigned on September 2, 2010 and is currently active in the NPPES registry.

What is the specialty of Jennifer Mccullum, S/L PATHOLOGIST?

Jennifer Mccullum, S/L PATHOLOGIST is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in ME under license number ME1650.

Where does Jennifer Mccullum, S/L PATHOLOGIST practice?

The practice location is 14 Shaker Road, Gray, ME 04039. The office can be reached at 207-657-2066 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326355033 directly on the NPPES registry website.

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