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NPI Code Detail

MEDICARE: DR. LORRAINE ADELE CULVER PSY.D.

MEDICARE: DR. LORRAINE ADELE CULVER PSY.D.
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1437460326
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LORRAINE ADELE CULVER PSY.D.
Provider Business Mailing Address
First Line : 4313 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-3140
Country : US
Telephone Number : 312-747-3560
Fax Number : 312-747-8974
Provider Business Practice Location Address
First Line : 4313 S ASHLAND AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60609-3140
Country : US
Telephone Number : 312-747-3560
Fax Number : 312-747-8974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2010
Last Update Date : 06/25/2010

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