SearchIndiana103TS0200X

Bridget Mccullough-Favela, EDS, NCSP

NPI 1407673890 · on the registry since 2024

Practice

Address
1831 Oliver St
Whiting, IN 46394
Phone
(219) 659-0738

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-09-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana