Provider Demographics
NPI:1518442748
Name:CULKIN, JULIA (LCAT-LP, ATR-P)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:CULKIN
Suffix:
Gender:F
Credentials:LCAT-LP, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 BROADWAY FL 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-8433
Mailing Address - Country:US
Mailing Address - Phone:516-505-5136
Mailing Address - Fax:
Practice Address - Street 1:260 BROADWAY FL 4
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-8433
Practice Address - Country:US
Practice Address - Phone:347-505-5136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP-02134221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist