Provider Demographics
NPI:1750596821
Name:CULBERTSON, WILLIAM C (PSYD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:CULBERTSON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 HADDON AVE
Mailing Address - Street 2:SUITE 601
Mailing Address - City:HADDON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08108-2809
Mailing Address - Country:US
Mailing Address - Phone:856-833-1993
Mailing Address - Fax:
Practice Address - Street 1:216 HADDON AVE
Practice Address - Street 2:SUITE 601
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2809
Practice Address - Country:US
Practice Address - Phone:856-833-1993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1747103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist