Provider Demographics
NPI:1851792550
Name:PULLEN, DEE P (CLC, CHBPLC)
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:P
Last Name:PULLEN
Suffix:
Gender:F
Credentials:CLC, CHBPLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 E ANNIE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-8004
Mailing Address - Country:US
Mailing Address - Phone:813-933-2301
Mailing Address - Fax:
Practice Address - Street 1:802 E ANNIE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-8004
Practice Address - Country:US
Practice Address - Phone:813-933-2301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula