Provider Demographics
NPI:1386813962
Name:BULMAN, JOHN F JR (LCSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:F
Last Name:BULMAN
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 COBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:QUAKERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18951-2658
Mailing Address - Country:US
Mailing Address - Phone:267-347-0425
Mailing Address - Fax:
Practice Address - Street 1:1234 COBBLESTONE WAY
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-2658
Practice Address - Country:US
Practice Address - Phone:267-347-0425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0153281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical