Provider Demographics
NPI:1659525616
Name:CHUSID, HOWARD (EDD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:CHUSID
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 W HALLANDALE BEACH BLVD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5155
Mailing Address - Country:US
Mailing Address - Phone:954-455-0388
Mailing Address - Fax:954-455-7588
Practice Address - Street 1:3001 W HALLANDALE BEACH BLVD
Practice Address - Street 2:SUITE 302
Practice Address - City:HALLANDALE
Practice Address - State:FL
Practice Address - Zip Code:33009-5155
Practice Address - Country:US
Practice Address - Phone:954-455-0388
Practice Address - Fax:954-455-7588
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH-6649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health