Provider Demographics
NPI:1689479636
Name:CULLEN, KATHERINE ((CD) (LCCE))
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:CULLEN
Suffix:
Gender:F
Credentials:(CD) (LCCE)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 N INTERSTATE 35 STE 315-752
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-5003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3004 GRAND MISSION WAY
Practice Address - Street 2:
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-3611
Practice Address - Country:US
Practice Address - Phone:512-913-7734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula