Individual
HENRY GURSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1011 BROOKSIDE RD STE 302, ALLENTOWN, PA 18106-9042
(610) 704-9328
Mailing address
619 SPRINGHOUSE RD APT G, ALLENTOWN, PA 18104-4697
(610) 704-9328
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005634L
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS005634L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1034854360001
—
PA
Enumeration date
05/05/2016
Last updated
05/23/2019
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