Healthcare Provider Details

I. General information

NPI: 1255644183
Provider Name (Legal Business Name): DENISE KUYPER M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

633 HIGH ST
WORTHINGTON OH
43085-4143
US

IV. Provider business mailing address

337 BRISTOL WOODS CT
WORTHINGTON OH
43085-3270
US

V. Phone/Fax

Practice location:
  • Phone: 614-352-5027
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberF.0700011
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: