Provider Demographics
NPI:1417205196
Name:KULSAR, STEVEN THOMAS (AUD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:THOMAS
Last Name:KULSAR
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8986 LORTON STATION BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4755
Mailing Address - Country:US
Mailing Address - Phone:703-339-7776
Mailing Address - Fax:571-489-5531
Practice Address - Street 1:8986 LORTON STATION BLVD STE 201
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4755
Practice Address - Country:US
Practice Address - Phone:703-339-7776
Practice Address - Fax:571-489-5531
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7963231H00000X
NY14000033600231H00000X
VA2201001770231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist