NPI 1225748569
Edward V Kornuszko Psy D PA
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
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.