Provider Demographics
NPI:1942412861
Name:RUSCH, ANTHONY JOSEPH (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:RUSCH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:TONY
Other - Middle Name:
Other - Last Name:RUSCH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1351 N ALMA SCHOOL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5937
Mailing Address - Country:US
Mailing Address - Phone:480-491-7048
Mailing Address - Fax:480-963-2036
Practice Address - Street 1:1351 N ALMA SCHOOL RD STE 205
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5937
Practice Address - Country:US
Practice Address - Phone:480-491-7048
Practice Address - Fax:480-963-2036
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3287103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist