Individual
DR. ILENE NAOMI RUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2523 BROADWAY, SUITE 200, BOULDER, CO 80304-4240
(303) 938-9244
(303) 413-1308
Mailing address
2523 BROADWAY, SUITE 200, BOULDER, CO 80304-4240
(303) 938-9244
(303) 413-1308
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary
7079
CO
Other
Enumeration date
01/19/2011
Last updated
06/17/2015
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