Organization
DOUGLAS CULBERT, PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS S CULBERT PHD (SOLE PROPRIETOR)
(312) 467-1519
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE STE 2401, CHICAGO, IL 60601-7451
(312) 467-1519
Mailing address
1220 W GLENLAKE AVE, CHICAGO, IL 60660-2504
(773) 844-6576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004224
IL
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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