Provider Demographics
NPI:1306532569
Name:KUROWSKI, MOLLY P
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:P
Last Name:KUROWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 STARFISH DR SE APT C
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-4841
Mailing Address - Country:US
Mailing Address - Phone:716-368-1214
Mailing Address - Fax:
Practice Address - Street 1:5008 STARFISH DR SE APT C
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-4841
Practice Address - Country:US
Practice Address - Phone:716-368-1214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-12
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst