Provider Demographics
NPI:1427535764
Name:KULP, CHRISTINA ANNE (LCSW, ACHP-SW)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANNE
Last Name:KULP
Suffix:
Gender:F
Credentials:LCSW, ACHP-SW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7815 CORNING RD
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18092-2322
Mailing Address - Country:US
Mailing Address - Phone:610-972-1473
Mailing Address - Fax:
Practice Address - Street 1:7815 CORNING RD
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18092-2322
Practice Address - Country:US
Practice Address - Phone:610-972-1473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2021-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0184211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical