Provider Demographics
NPI:1679324800
Name:KULCSAR, ANNAMARIA C (SLPA)
Entity type:Individual
Prefix:
First Name:ANNAMARIA
Middle Name:C
Last Name:KULCSAR
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11454 W ST JOHN RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-6994
Mailing Address - Country:US
Mailing Address - Phone:602-750-0476
Mailing Address - Fax:
Practice Address - Street 1:9128 E SAN SALVADOR DR # DE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5556
Practice Address - Country:US
Practice Address - Phone:480-767-8659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA150232355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant