Individual
DR. DEBORA ANN KUSTRON
Active
Individual
DR. DEBORA ANN KUSTRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
002140
CT
103TC2200X
Clinical Child & Adolescent Psychologist
002140
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002140
PSYCHOLOGIST LICENSE
CT
Enumeration date
02/06/2007
Last updated
07/22/2011
Update your record
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