| Doctor Name: | DANA MCCULLICK |
| NPI Number: | 1881897239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 105132 |
| Business Practice Address: | 206 S Dittman St Frontenac, KS - 667632253 |
| Business Phone Number: | 6158966400 |
| Business Fax Number: | |
| Mailing Address: | 2995 E 770 Rd, EL DORADO SPRINGS |
| State: | MO |
| Postal Code: | 647448328 |
| Phone Number: | 4178765199 |
| Fax Number: | |
| NPI Enumeration Date: | 06/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 105132 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |