Susan Bertha Kullman in Prescott - Mental Health
Susan Bertha Kullman - NPI 1467506816
Susan Bertha Kullman is a Mental Health in Prescott, Arizona. Susan Bertha Kullman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Susan Bertha Kullman is 1467506816. The last update date is 2007-07-08.
Susan Bertha Kullman's current location address is 536 S Cortez St, Prescott, Arizona. You can contact this provider via phone number 9284450231. The mailing address for Susan Bertha Kullman is 536 S Cortez St, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Bertha Kullman |
|---|---|
| Address | 536 S Cortez St, Prescott, Arizona |
| Phone Number | 9284450231 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1467506816 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 536 S Cortez St |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863034354 |
| Phone Number | 9284450231 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LCSW2411 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Post Comment/ Review Below
What is the Susan Bertha Kullman's 1467506816?
The Susan Bertha Kullman's NPI (National Provider Identifier) Number is 1467506816. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Bertha Kullman?
The Susan Bertha Kullman is situated at 536 S Cortez St, in the city of Prescott, state of AZ, with the zip code 863034354.
What is Susan Bertha Kullman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Susan Bertha Kullman is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services assign the 1467506816 to Susan Bertha Kullman?
The Centers for Medicare & Medicaid Services assigned the 1467506816 to Susan Bertha Kullman on 2007-01-23.
As of what date was the information pertaining to Susan Bertha Kullman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Bertha Kullman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY