Provider Demographics
NPI:1326467879
Name:GALVAN-KUPKE, SYLVIA (MS)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:GALVAN-KUPKE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 7TH ST E
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-4039
Mailing Address - Country:US
Mailing Address - Phone:651-332-5500
Mailing Address - Fax:
Practice Address - Street 1:1301 7TH ST E
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55106-4039
Practice Address - Country:US
Practice Address - Phone:651-332-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor