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General NPI Number Information
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NPI Number | 1417581711
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Entity Type | Organization
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Legal Business Name | ANDREA M KULBERG, PHD CLINICAL PSYCHOLOGY INC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 3585 MAPLE ST STE 277
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City | VENTURA
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State | CA
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Zip | 93003-9146
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Country | US
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Telephone | 805-729-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 1187 COAST VILLAGE RD # 1-375
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City | SANTA BARBARA
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State | CA
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Zip | 93108-2737
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Country | US
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Telephone | 805-729-0180
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA M KULBERG
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Credential | PHD
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Telephone | 970-309-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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