Cullop, Kathleen L
Cullop, Kathleen L is an individual health care provider with primary practice located at 1207 S Mattis Ave Suite 4, Champaign IL 61821-4861. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cullop, Kathleen L can be contacted via phone (217) 398-8067.Contact Information
Primary practice address
1207 S Mattis Ave Suite 4
Champaign IL 61821-4861
Phone: (217) 398-8067
Fax: (217) 398-8096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
| NPI number | 1063691137 |
|---|---|
| LBN Legal business name | Cullop, Kathleen L |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2007 |
| Last updated | Oct 25th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063691137 | NPPES |
| Illinois | Other | 103-2051 | BLUE CROSS BLUE SHIELD |
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