Individual
ANITA FORSBERG CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5001 MAYFIELD RD, 200, LYNDHURST, OH 44124-2602
(216) 291-4000
(216) 291-4111
Mailing address
5001 MAYFIELD RD, 200, LYNDHURST, OH 44124-2602
(216) 291-4000
(216) 291-4111
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6125
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370900
ANTHEM
OH
05
—
2570589
—
OH
01
—
P00272062
RAILROAD MEDICARE
OH
Enumeration date
08/22/2006
Last updated
07/08/2007
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