Organization
MARVIN BOUSKA, M.S., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN BOUSKA (PSYCHOLOGIST)
(605) 348-6500
Entity
Organization
Contact information
Practice address
1818 W FULTON ST, RAPID CITY, SD 57702-4377
(605) 348-6500
Mailing address
1818 W FULTON ST, RAPID CITY, SD 57702-4377
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
191
SD
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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