| Hallie M. Kushner, Ph.d. P.c. | |
|
1601 Walnut St Ste 706 Philadelphia PA 19102-2904 | |
| (215) 839-9735 | |
| Not Available |
| Full Name | Hallie M. Kushner, Ph.d. P.c. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1601 Walnut St Ste 706, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Hallie M Kushner (PRESIDENT) |
| Authorized Official Contact | 2158399735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hallie M. Kushner, Ph.d. P.c. 1031 Spruce St Apt 203 Philadelphia PA 19107-6726 Ph: (773) 308-5636 | Hallie M. Kushner, Ph.d. P.c. 1601 Walnut St Ste 706 Philadelphia PA 19102-2904 Ph: (215) 839-9735 |
| NPI Number | 1235738360 |
|---|---|
| Provider Enumeration Date | 10/20/2020 |
| Last Update Date | 10/20/2020 |
| Certification Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235738360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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