Individual
REAUNNA LEE PUSKAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 DISHMAN LANE EXT APT C, BOWLING GREEN, KY 42104-4072
(270) 202-8669
Mailing address
719 DISHMAN LANE EXT APT C, BOWLING GREEN, KY 42104-4072
(270) 202-8669
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
278600
KY
Other
Enumeration date
05/24/2021
Last updated
01/04/2024
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