Provider Demographics
NPI:1851502736
Name:CULBERTSON, DOROTHY J (REHAB SPEC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:J
Last Name:CULBERTSON
Suffix:
Gender:F
Credentials:REHAB SPEC
Other - Prefix:
Other - First Name:D
Other - Middle Name:JUNE
Other - Last Name:CULBERTSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:145 LAWS AVE
Mailing Address - Street 2:APARTMENT 20
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-6626
Mailing Address - Country:US
Mailing Address - Phone:707-533-3670
Mailing Address - Fax:
Practice Address - Street 1:1120 S DORA ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-6340
Practice Address - Country:US
Practice Address - Phone:707-456-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor