Individual
DR. ILENE S KUSENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12401 WILSHIRE BLVD, SUITE #306, LOS ANGELES, CA 90025-1085
(310) 424-5848
(310) 209-8456
Mailing address
12401 WILSHIRE BLVD, SUITE #306, LOS ANGELES, CA 90025-1085
(310) 424-5848
(310) 209-8456
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19463
CA
Other
Enumeration date
05/01/2007
Last updated
04/22/2008
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