Provider Demographics
NPI:1851511216
Name:TULLAR, ANNE (MSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:TULLAR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 EASTOWNE DR
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2299
Mailing Address - Country:US
Mailing Address - Phone:919-490-4434
Mailing Address - Fax:919-490-9733
Practice Address - Street 1:800 EASTOWNE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2299
Practice Address - Country:US
Practice Address - Phone:919-490-4434
Practice Address - Fax:919-490-9733
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0002411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical