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CULLEN PSYCHOLOGICAL SERVICES PC NPI 1841334109


NPI Information

NPI: 1841334109
Provider Name: CULLEN PSYCHOLOGICAL SERVICES, PC

Other Name: THOMAS J. CULLEN, JR., PH.D.

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
9331 OLD BUSTLETON AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19115
Phone: (856) 228-5390
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CULLEN PSYCHOLOGICAL SERVICES, PC is a clinical psychologist in Philadelphia, PA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CULLEN PSYCHOLOGICAL SERVICES, PC NPI is 1841334109. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Thomas J. Cullen, Jr., Ph.d..

The provider's business location address is:

9331 OLD BUSTLETON AVE
SUITE 101
PHILADELPHIA, PA
ZIP 19115-634
Phone: (856) 228-5390
Fax: (856) 228-5390

The provider's authorized official is Thomas J Cullen .
The authorized official title is President, Clinical Psychologist and has the following contact phone number (856) 228-5390.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 11/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologistPS002808LPENNSYLVANIANo
2103TC0700XPsychologistClinicalPS002808LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1264826200OTHERPENNSYLVANIAACS OWCP FECA
2172351MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
37579734MEDICAIDPENNSYLVANIA
4P824454OTHERPENNSYLVANIAOTHER
5172351OTHERPENNSYLVANIABLUE SHIELD
6466239000OTHERPENNSYLVANIAMAGELLAN BEHAVIORAL HEALT
7R06451MEDICARE UPINPENNSYLVANIA
80049406000OTHERPENNSYLVANIABLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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