Provider Demographics
NPI:1184919201
Name:CULVER, KYLE ELIZABETH (PSYD)
Entity type:Individual
Prefix:DR
First Name:KYLE
Middle Name:ELIZABETH
Last Name:CULVER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 LOWER SAUCON RD
Mailing Address - Street 2:
Mailing Address - City:HELLERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18055-2124
Mailing Address - Country:US
Mailing Address - Phone:205-612-6092
Mailing Address - Fax:
Practice Address - Street 1:3570 LOWER SAUCON RD
Practice Address - Street 2:
Practice Address - City:HELLERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18055-2124
Practice Address - Country:US
Practice Address - Phone:205-612-6092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017979103TC0700X
UT8783860-2504103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical