Healthcare Provider Details

I. General information

NPI: 1255319307
Provider Name (Legal Business Name): MR. STEVEN D. HULCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2006
Last Update Date: 05/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

766 W LINCOLN HWY
EXTON PA
19341-2547
US

IV. Provider business mailing address

766 W LINCOLN HWY
EXTON PA
19341-2547
US

V. Phone/Fax

Practice location:
  • Phone: 610-873-2233
  • Fax: 610-873-2235
Mailing address:
  • Phone: 610-873-2233
  • Fax: 610-873-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS017194
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCW013140
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: