Individual
TARO AUGUSTUS KURUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY8365
FL
103TC1900X
Counseling Psychologist
2316
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4039014
BLUE CROSS BLUE SHIELD
—
01
—
4065356
BCBS-TN
—
01
—
476464000
MAGELLAN
—
01
—
680014816
RAILROAD MEDICARE
—
01
—
702017316
CARITEN HEALTHCARE
—
01
—
TN0102
JOHNDEERE HEALTHCARE
—
Enumeration date
12/02/2005
Last updated
09/26/2022
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