Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 0639 | MD |
N | 103T00000X | Psychologist | 0639 | MD |
N | 102L00000X | Psychologist | 639 | MD |
N | 103T00000X | Psychologist | 639 | MD |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 639 | MD |
N | 103TA0700X | Adult Development & Aging Psychologist | 639 | MD |
N | 103G00000X | Clinical Psychologist | 639 | MD |
N | 103TC0700X | Clinical Psychologist | 639 | MD |
NPI | 1033209986 |
---|---|
Provider Name | Dr. Lewis Robert Kadushin |
First Address | Salisbury, MD 21801-7121 |
Second Address | Salisbury, MD 21801-7121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 08/07/2007 |