Individual
MS. ANN MARGARET BOUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
130 BROOKLEY RD, ROME, NY 13441-4300
(315) 533-1150
Mailing address
7867 MCKERN RD, ROME, NY 13440-6361
(315) 334-9578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
009552
NY
Other
Enumeration date
07/14/2010
Last updated
07/14/2010
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