Whalio Doctors

NPI 1225748569

Edward V Kornuszko Psy D PA

Organisation Clinical Psychologist Deland, FL

Practice location

Address
964 Megano Blvd, Deland, FL 32724-6502
Phone
(781) 835-5664

Authorised official

Name
Edward Kornuszko
Title
President
Phone
(781) 835-5664

Registered specialties

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X

Registry record

NPI
1225748569
Entity type
Organization
NPI issued
28 Nov 2022
Record last updated
21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.