Individual
DR. NANCY KULISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
625 PURDY ST, BIRMINGHAM, MI 48009
(248) 258-0904
(248) 258-9348
Mailing address
625 PURDY ST, BIRMINGHAM, MI 48009
(248) 258-0904
(248) 258-9348
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
6301000550
MI
103TC0700X
Clinical Psychologist
Primary
6301000550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293
CPQ NUMBER
—
Enumeration date
05/30/2007
Last updated
09/11/2025
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