National Provider Identifier
Thomas Peter Cullen, LCSW-R
Thomas Peter Cullen, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 379-2401.
Profile Overview
- NPI
- 1548481971
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- May 02, 2007
- Last Updated
- November 06, 2012
Practice Location
- 123 South Cayuga St. #2
- Ithaca, NY 14850
Phone: (607) 379-2401
Specialties
- Clinical Social Worker (1041C0700X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1548481971
- Entity Type
- Individual
- Last Name
- Cullen
- First Name
- Thomas
- Middle Name
- Peter
- Credential
- LCSW-R
- Mailing Street Address
- 123 South Cayuga St. #2
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 379-2401
- Practice Street Address
- 123 South Cayuga St. #2
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 379-2401
- Enumeration Date
- May 02, 2007
- Last Updated
- November 06, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)