Individual
KAYLA BOUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 FORT KNOX RD, PROSPECT, ME 04981-3124
(207) 509-0011
Mailing address
615 FORT KNOX RD, PROSPECT, ME 04981-3124
(207) 509-0011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2967
ME
235Z00000X
Speech-Language Pathologist
ST2822
ME
Other
Enumeration date
07/10/2018
Last updated
05/09/2025
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