Individual
ELYSSA KUSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3535 MARKET ST, SUITE 600 NORTH, PHILADELPHIA, PA 19104-3309
(215) 746-6700
(215) 746-5155
Mailing address
3535 MARKET ST, SUITE 600 NORTH, PHILADELPHIA, PA 19104-3309
(215) 746-6700
(215) 746-5155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016357
PA
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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