Provider Demographics
NPI:1225072267
Name:MCCUSKER, PETER
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:MCCUSKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 WINDY HILL RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-6957
Mailing Address - Country:US
Mailing Address - Phone:610-793-4678
Mailing Address - Fax:
Practice Address - Street 1:535 WINDY HILL RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6957
Practice Address - Country:US
Practice Address - Phone:610-793-4678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-16
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist