Kevin J Mccullough, PH.D. Valid NPI

Individual provider · Clinical Psychologist · Sherman Oaks, CA

NPI

1619063682

Type

Individual (Type 1)

Primary specialty

Clinical Psychologist (Psychologist)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103TC0700X

License number

PSY17554 (CA)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-10-05

Last updated

2007-07-08