Provider Demographics
NPI:1205913977
Name:KUCHINSKY, BRENDA LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:BRENDA
Middle Name:LEE
Last Name:KUCHINSKY
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:1011 IVES DAIRY RD
Mailing Address - Street 2:BUILDING 2 SUITE 208
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2536
Mailing Address - Country:US
Mailing Address - Phone:305-653-0098
Mailing Address - Fax:305-654-4412
Practice Address - Street 1:1011 IVES DAIRY RD
Practice Address - Street 2:BUILDING 2 SUITE 208
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33179-2536
Practice Address - Country:US
Practice Address - Phone:305-653-0098
Practice Address - Fax:305-654-4412
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPY5763103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical