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NPI Code Detail

MEDICARE: ROBERT A CULP LICENSED PSYCHOLOGIST INC

MEDICARE: ROBERT A CULP LICENSED PSYCHOLOGIST INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist

General Provider Information

NPI Number : 1144910274
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT A CULP LICENSED PSYCHOLOGIST INC
Provider Business Mailing Address
First Line : 24355 CREEKSIDE RD UNIT 800664
Second Line :
City : SANTA CLARITA
State : CA
Zip : 91380-7051
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1215 DE LA VINA ST STE D
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-5163
Country : US
Telephone Number : 818-660-6214
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT CULP
Credential :
Telephone Number : 801-358-5848
Provider Enumeration Date : 05/11/2023
Last Update Date : 05/11/2023

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Directions to “ROBERT A CULP LICENSED PSYCHOLOGIST INC ” Practice Location

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