Provider Demographics
NPI:1174622948
Name:KULCSAR, ELISABETH N (PHD)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:N
Last Name:KULCSAR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT. OF THE ARMY, ANSBACH GARRISON, BEHAVIORAL HEALTH
Mailing Address - Street 2:UNIT 28614
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09177-8614
Mailing Address - Country:US
Mailing Address - Phone:0114-998-1183
Mailing Address - Fax:
Practice Address - Street 1:CMR 454
Practice Address - Street 2:
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09250
Practice Address - Country:US
Practice Address - Phone:01149-152-8628
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2010-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPS00951103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI412296OtherEI BCHIP
RI2092OtherEI NHPRC
RI6400144OtherEI UHP
RI292177OtherEI BLUE CROSS