Individual
MICHAEL LEE KULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, STE 347, MILWAUKEE, WI 53215-3693
(414) 385-2877
Mailing address
PO BOX 510058, NEW BERLIN, WI 53151-0058
(414) 385-2877
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1433
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39091400
—
WI
Enumeration date
12/14/2006
Last updated
07/23/2018
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