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Individual
DR. MARY ELLEN CULVER
Active
Individual
DR. MARY ELLEN CULVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFC21037
CA
103T00000X
Psychologist
Primary
LP0915
KS
103T00000X
Psychologist
PY01784
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092443
MANAGED HEALTH NETWORK
—
01
—
24238031
BLUE CROSS
—
01
—
29069
NEW DIRECTIONS
—
01
—
3079447
CIGNA
—
01
—
6160116
UNITED HEALTH CARE
—
Enumeration date
11/29/2005
Last updated
12/04/2012
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