Individual
CHARLES J CHULACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4655 WILLIAM FLYNN HWY, SUITE 125B, ALLISON PARK, PA 15101-2243
(412) 492-8585
(412) 492-7882
Mailing address
4655 WILLIAM FLYNN HWY, SUITE 125B, ALLISON PARK, PA 15101-2243
(412) 492-8585
(412) 492-7882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CW014647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1591341
HIGHMARK BCBS
—
01
—
410991
UPMC
—
01
—
489398
VALUE OPTIONS PROVIDER NU
PA
Enumeration date
10/11/2006
Last updated
08/05/2008
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