Individual
MS. SUSAN KULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
11109 76TH RD, SUITE E5, FOREST HILLS, NY 11375-6424
(718) 793-6963
Mailing address
3202 TOWN WALK DR, HAMDEN, CT 06518-3733
(203) 230-0790
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
000299
NY
Other
Enumeration date
03/10/2007
Last updated
07/08/2007
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