| Doctor Name: | DR. HOWARD CHUSID |
| NPI Number: | 1659525616 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | EDD |
| License Number: | IMH-6649 |
| Business Practice Address: | 3001 W Hallandale Beach Blvd Suite 302 Hallandale, FL - 330095155 |
| Business Phone Number: | 9544550388 |
| Business Fax Number: | 9544557588 |
| Mailing Address: | 3001 W Hallandale Beach Blvd, Suite 302 HALLANDALE |
| State: | FL |
| Postal Code: | 330095155 |
| Phone Number: | 9544550388 |
| Fax Number: | 9544557588 |
| NPI Enumeration Date: | 11/04/2008 |
| NPI Last Update Date: | 11/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH-6649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |