Provider Demographics
NPI:1346061975
Name:CULVER, CHERI MICHELE (EDUCATION SPECIALIST)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:MICHELE
Last Name:CULVER
Suffix:
Gender:F
Credentials:EDUCATION SPECIALIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 N 300 W
Mailing Address - Street 2:
Mailing Address - City:WABASH
Mailing Address - State:IN
Mailing Address - Zip Code:46992-8689
Mailing Address - Country:US
Mailing Address - Phone:260-563-8871
Mailing Address - Fax:260-563-2749
Practice Address - Street 1:246 N 300 W
Practice Address - Street 2:
Practice Address - City:WABASH
Practice Address - State:IN
Practice Address - Zip Code:46992-8689
Practice Address - Country:US
Practice Address - Phone:260-563-8871
Practice Address - Fax:260-563-2749
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1000387103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool