Individual
MS. CYNTHIA POTTER RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., HSP
Contact information
Practice address
223 CODY AVE BLDG 90310, HURLBURT FIELD, FL 32544-5302
(850) 884-8032
Mailing address
775 GULF SHORE DR UNIT 8238, DESTIN, FL 32541-5424
(615) 579-4985
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0000011297
TN
Other
Enumeration date
01/08/2007
Last updated
06/09/2022
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