Doctor Name: | MS. CAROLE SUSAN HULL |
NPI Number: | 1033168638 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED |
License Number: | MHC 0002195 |
Business Practice Address: | 620 E New York Ave Suite A Deland, FL - 327246084 |
Business Phone Number: | 3866695435 |
Business Fax Number: | 3867385916 |
Mailing Address: | 32 Laurianne Rd, DEBARY |
State: | FL |
Postal Code: | 327134349 |
Phone Number: | 2866682446 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC 0002195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |