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Individual

DR. LEWIS ROBERT KADUSHIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
206 KAY AVENUE, SALISBURY, MD 21801-7121
(410) 749-0507
(410) 543-2638
Mailing address
206 KAY AVENUE, SALISBURY, MD 21801-7121
(410) 749-0507
(410) 543-2638

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0639
MD
103T00000X
Psychologist
639
MD
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
639
MD
103TA0700X
Adult Development & Aging Psychologist
639
MD
103TC0700X
Clinical Psychologist
639
MD

Other

Enumeration date
10/13/2006
Last updated
09/11/2025
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