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Organization

TY CULINER, PH.D. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TY CULINER PH.D. (CHIEF OFFICER)
(215) 862-6992
Entity
Organization

Contact information

Practice address
55 N MAIN ST, NEW HOPE, PA 18938-1340
(215) 862-6992
Mailing address
55 N MAIN ST, NEW HOPE, PA 18938-1340
(215) 862-6992

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008396L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0244068000
INDEPENDENCE BCBS
PA
01
CU400592
HIGHMARKBCBS
Enumeration date
11/14/2007
Last updated
11/14/2007
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