Bridget Anne Mccullough-favela, EDS, NCSP is a
Psychologist - School based in Whiting, Indiana. Bridget Anne Mccullough-favela is licensed to practice in Indiana (license number 10228620) and her current practice location is
1831 Oliver St, Whiting, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 659-0738.
NPI number for Bridget Anne Mccullough-favela is 1407673890 and her current mailing address is 1500 Center St, Whiting, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407673890.
Healthcare Provider's Profile
Full Name | Bridget Anne Mccullough-favela |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 1831 Oliver St, Whiting, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407673890
- Provider Enumeration Date: 09/25/2024
- Last Update Date: 09/25/2024
Medical Identifiers
Medical identifiers for Bridget Anne Mccullough-favela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407673890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 10228620 (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bridget Anne Mccullough-favela is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bridget Anne Mccullough-favela, EDS, NCSP 1500 Center St, Whiting, IN 46394-1762 Ph: (219) 659-0738 | Bridget Anne Mccullough-favela, EDS, NCSP 1831 Oliver St, Whiting, IN 46394-1766 Ph: (219) 659-0738 |
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