MS. CAMILLE MARY KULKA


Address: 333 Main St N Ste 205, Stillwater, MN 55082-5054
Phone: 6514302212

MS. CAMILLE MARY KULKA (NPI# 1952416638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952416638
Entity Type Individual
Full Name MS. CAMILLE MARY KULKA
Credential M.S.,L.P.
Practice Address 333 Main St N Ste 205
Stillwater
MN 55082-5054
Practice Telephone 6514302212
Mailing Telephone 6514302212
Enumeration Date 2006-08-20
Last Update Date 2007-07-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP3732 MN Behavioral Health & Social Service Providers

Office Location

Street Address 333 MAIN ST N STE 205
City STILLWATER
State MN
Zip Code 55082-5054

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1881086288 Kj Counseling LLC Community/Behavioral Health 333 Main St N Ste 205, Stillwater, MN 55082-5054 2015-02-23
1942341722 Dorothy Deetz Massage Therapist 333 Main St N Ste 205, Stillwater, MN 55082-5054 2007-02-12

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1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790191252 Jenna Wieden Psychologist 333 Main St N Ste 110, Stillwater, MN 55082-5054 2014-07-05
1861653750 Kim Marie Gleich Psychologist 14949 62nd St N, Stillwater, MN 55082-6132 2008-06-23
1982817805 Jane Louise Anglin Psychologist 6381 Osgood Ave N # C, Stillwater, MN 55082-6118 2007-05-07
1447301908 Mary G Freitag Psychologist 10480 Perkins Ave N, Stillwater, MN 55082-9273 2007-01-12
1598820367 Donae Verbena Gustafson Psychologist 6120 Oren Ave N, Stillwater, MN 55082-6155 2006-12-22
1376628164 Bonnie Joy Scott Psychologist 215 W Mcelroy Rd, Suite 1, Stillwater, OK 74075-3537 2006-10-27
1609886407 Patrick Edward Shields Psychologist 1940 Greeley St S, 202a, Stillwater, MN 55082-5097 2006-08-08
1316954746 Lawrence Benjamin Fulgenzi Psychologist 6414 E 19th Ave, Stillwater, OK 74074-8472 2006-08-01
1669495453 Barbara Walker Psychologist 375 Orleans St E, Stillwater, MN 55082-5830 2006-07-25
1063458008 Laurie Patrice Clemens Psychologist 619 S Lowry St, Stillwater, OK 74074-3627 2006-06-20
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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