Individual
STEPHANIE LARSON BURCUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
400 15TH AVE S STE 205, GREAT FALLS, MT 59405-4375
(406) 731-8888
(406) 731-8876
Mailing address
400 15TH AVE S STE 205, GREAT FALLS, MT 59405-4375
(406) 731-8888
(406) 731-8876
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2210
MT
Other
Enumeration date
08/22/2007
Last updated
04/05/2024
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