Organization
DAVID S. BUSH, PH.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S BUSH PH.D. (PRESIDENT)
(561) 622-8881
Entity
Organization
Contact information
Practice address
11211 PROSPERITY FARMS RD, SUITE C206, PALM BEACH GARDENS, FL 33410-3446
(561) 622-8881
(561) 622-8018
Mailing address
11211 PROSPERITY FARMS RD, SUITE C206, PALM BEACH GARDENS, FL 33410-3446
(561) 622-8881
(561) 622-8018
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PY003425
FL
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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