Healthcare Provider Details

I. General information

NPI: 1891680427
Provider Name (Legal Business Name): BRONWEN MARIE CULL PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 MARICOPA HWY
OJAI CA
93023-3181
US

IV. Provider business mailing address

1401 MARICOPA HWY
OJAI CA
93023-3181
US

V. Phone/Fax

Practice location:
  • Phone: 805-640-4343
  • Fax:
Mailing address:
  • Phone: 805-640-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: