Provider Demographics
NPI:1730886987
Name:CULLINS COUNSELING - A PSYCHOLOGICAL CORPORATION
Entity type:Organization
Organization Name:CULLINS COUNSELING - A PSYCHOLOGICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CULLINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:760-529-7591
Mailing Address - Street 1:7917 CALLE SAN FELIPE
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-9308
Mailing Address - Country:US
Mailing Address - Phone:760-529-7591
Mailing Address - Fax:
Practice Address - Street 1:7917 CALLE SAN FELIPE
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-9308
Practice Address - Country:US
Practice Address - Phone:760-529-7591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty