Individual
DENNIS MICHAEL KASHURBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC PSYCHOLOGIST
Contact information
Practice address
113 S CENTER AVE, SOMERSET, PA 15501-2057
(814) 445-9695
(814) 444-8812
Mailing address
113 S CENTER AVE, SOMERSET, PA 15501-2057
(814) 445-9695
(814) 444-8812
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004589L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360971
MAGELLAN
—
Enumeration date
12/04/2006
Last updated
07/08/2007
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