Provider Demographics
NPI:1801689997
Name:TULL, PAMELA RENEE (PHD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:RENEE
Last Name:TULL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9998
Mailing Address - Country:US
Mailing Address - Phone:856-326-1225
Mailing Address - Fax:
Practice Address - Street 1:103 FELLOWSHIP LN
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-2207
Practice Address - Country:US
Practice Address - Phone:856-326-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach