Provider Demographics
NPI:1396828042
Name:CULP, SAUNDRA KAY (LICSW)
Entity Type:Individual
Prefix:
First Name:SAUNDRA
Middle Name:KAY
Last Name:CULP
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 ARBUCKLE RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26651-1747
Mailing Address - Country:US
Mailing Address - Phone:304-872-8040
Mailing Address - Fax:304-872-2705
Practice Address - Street 1:1015 ARBUCKLE RD
Practice Address - Street 2:
Practice Address - City:SUMMERSVILLE
Practice Address - State:WV
Practice Address - Zip Code:26651-1747
Practice Address - Country:US
Practice Address - Phone:304-872-8040
Practice Address - Fax:304-872-2705
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009403631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical