Provider Demographics
NPI:1245391291
Name:KULIG & ASSOCIATES INC
Entity Type:Organization
Organization Name:KULIG & ASSOCIATES INC
Other - Org Name:MARTHA KULIG
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KULIG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:561-743-6517
Mailing Address - Street 1:900 S US HWY ONE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477
Mailing Address - Country:US
Mailing Address - Phone:561-743-6517
Mailing Address - Fax:561-743-3329
Practice Address - Street 1:900 S US HWY ONE
Practice Address - Street 2:SUITE 101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477
Practice Address - Country:US
Practice Address - Phone:561-743-6517
Practice Address - Fax:561-743-3329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2012-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ6362Medicare ID - Type Unspecified