Organization Name: | WILLIAM J. KUZBYT, PSY.D., PA |
NPI Number: | 1033450200 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J. KUZBYT (PRESIDENT) |
Mailing Address: | 4061 Bonita Beach Rd Suite 105 Bonita Springs |
State: | FL US |
Postal Code: | 341344074 |
Phone Number: | 2398987099 |
Fax Number: | 2393002759 |
NPI Enumeration Date: | 03/12/2013 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY6646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |