Provider Demographics
NPI:1619144177
Name:MCCULLY, HOPE S (SPL-CCC)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:S
Last Name:MCCULLY
Suffix:
Gender:F
Credentials:SPL-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 GAHAGAN RD
Mailing Address - Street 2:
Mailing Address - City:SMICKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16256-4507
Mailing Address - Country:US
Mailing Address - Phone:724-286-9501
Mailing Address - Fax:724-286-9209
Practice Address - Street 1:389 GAHAGAN RD
Practice Address - Street 2:
Practice Address - City:SMICKSBURG
Practice Address - State:PA
Practice Address - Zip Code:16256-4507
Practice Address - Country:US
Practice Address - Phone:724-286-9501
Practice Address - Fax:724-286-9209
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005781L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist