Organization
HALLIE M. KUSHNER, PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALLIE M KUSHNER PH.D. (PRESIDENT)
(215) 839-9735
Entity
Organization
Contact information
Practice address
1601 WALNUT ST STE 706, PHILADELPHIA, PA 19102-2904
(215) 839-9735
Mailing address
1031 SPRUCE ST APT 203, PHILADELPHIA, PA 19107-6726
(773) 308-5636
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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