Organization
ALEXANDER KUSHCH, PHD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER KUSHCH PH.D. (PRESIDENT)
(954) 296-1048
Entity
Organization
Contact information
Practice address
5353 N FEDERAL HWY, SUITE 208, FORT LAUDERDALE, FL 33308-3245
(954) 296-1048
(954) 533-1937
Mailing address
8930 W STATE ROAD 84, NO. 113, DAVIE, FL 33324-4456
(954) 296-1048
(954) 533-1937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY5881
FL
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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