Individual
DR. EDWARD VINCENT KORNUSZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
964 MEGANO BLVD, DELAND, FL 32724-6502
(781) 835-5664
Mailing address
964 MEGANO BLVD, DELAND, FL 32724-6502
(781) 835-5664
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9078
FL
Other
Enumeration date
08/06/2014
Last updated
08/21/2024
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