Provider Demographics
NPI:1073187399
Name:SULPIZIO, KATHLEEN (BSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:SULPIZIO
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 S KINZER AVE STE D
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-8706
Mailing Address - Country:US
Mailing Address - Phone:717-351-2400
Mailing Address - Fax:717-351-2407
Practice Address - Street 1:435 S KINZER AVE STE D
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-8706
Practice Address - Country:US
Practice Address - Phone:717-351-2400
Practice Address - Fax:717-351-2407
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker