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NPI Code Detail

MEDICARE: KARA VICTORIA MCCULLOUGH MS, CF-SLP

MEDICARE: KARA VICTORIA MCCULLOUGH MS, CF-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1063029742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA VICTORIA MCCULLOUGH MS, CF-SLP
Provider Business Mailing Address
First Line : 60 CEDAR DR
Second Line :
City : RICHBORO
State : PA
Zip : 18954-1506
Country : US
Telephone Number : 267-262-1422
Fax Number :
Provider Business Practice Location Address
First Line : 6401 MARTINS MILL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-5304
Country : US
Telephone Number : 215-697-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2020
Last Update Date : 09/28/2020

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Directions to “ KARA VICTORIA MCCULLOUGH MS, CF-SLP” Practice Location

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