Organization
EDWARD V KORNUSZKO PSY D PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD KORNUSZKO PSYD (PRESIDENT)
(781) 835-5664
Entity
Organization
Contact information
Practice address
964 MEGANO BLVD, DELAND, FL 32724-6502
(781) 835-5664
Mailing address
964 MEGANO BLVD, DELAND, FL 32724-6502
(781) 835-5664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
08/21/2024
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