Healthcare Provider Details

I. General information

NPI: 1558738989
Provider Name (Legal Business Name): CARLA RAYE KUHL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2015
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 SWEET HOME RD STE 1
BUFFALO NY
14228-2786
US

IV. Provider business mailing address

1416 SWEET HOME RD STE 1
BUFFALO NY
14228-2786
US

V. Phone/Fax

Practice location:
  • Phone: 716-235-3750
  • Fax:
Mailing address:
  • Phone: 716-235-3750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number095662-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: