Individual provider · Type 1 NPI

Charles Anthony McCullough

Developmental Therapist · Cincinnati, OH

NPI number 1174887202 Active

Practice location

880 Gretna Ln
Cincinnati, OH 45240-2426

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1174887202

Charles Anthony McCullough's National Provider Identifier is 1174887202, issued on Jul 3, 2012. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 3, 2012.