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NPI Code Detail

MEDICARE: DR. STUART L. KURLANSIK PHD

MEDICARE:  DR. STUART L. KURLANSIK  PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TB0200XCognitive & Behavioral PsychologistPS-002988-LPA
2103TB0200XCognitive & Behavioral Psychologist35SI00401800NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891784567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STUART L. KURLANSIK PHD
Provider Business Mailing Address
First Line : 255 S 17TH ST
Second Line : MEDICAL TOWER - SUITE 2708
City : PHILADELPHIA
State : PA
Zip : 19103-6231
Country : US
Telephone Number : 215-735-2444
Fax Number : 215-735-2447
Provider Business Practice Location Address
First Line : 255 S 17TH ST
Second Line : MEDICAL TOWER - SUITE 2708
City : PHILADELPHIA
State : PA
Zip : 19103-6231
Country : US
Telephone Number : 215-735-2444
Fax Number : 215-735-2447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 09/18/2007

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Directions to “ DR. STUART L. KURLANSIK PHD” Practice Location

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