| Thomas J. Cullen, Jr., Ph.d. | |
|
9331 Old Bustleton Ave Suite 101 Philadelphia PA 19115-4634 | |
| (856) 228-5390 | |
| (856) 228-5390 |
| Full Name | Thomas J. Cullen, Jr., Ph.d. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 9331 Old Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Thomas J Cullen (PRESIDENT, CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8562285390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas J. Cullen, Jr., Ph.d. 80 Bryant Rd Turnersville NJ 08012-1446 Ph: (856) 228-5390 | Thomas J. Cullen, Jr., Ph.d. 9331 Old Bustleton Ave Suite 101 Philadelphia PA 19115-4634 Ph: (856) 228-5390 |
| NPI Number | 1841334109 |
|---|---|
| Provider Enumeration Date | 02/19/2007 |
| Last Update Date | 11/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841334109 | NPI | - | NPPES |
| 466239000 | Other | PA | MAGELLAN BEHAVIORAL HEALT |
| P824454 | Other | PA | OTHER |
| 172351 | Other | PA | BLUE SHIELD |
| 0049406000 | Other | PA | BLUE CROSS |
| 264826200 | Other | PA | ACS OWCP FECA |
| 7579734 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS002808L (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS002808L (Pennsylvania) | Primary |
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