Individual
LINDA BOUSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SLP
Contact information
Practice address
4131 MONTMORENCY PL, LOVELAND, CO 80537-3438
(970) 663-9579
(970) 663-3227
Mailing address
3001 N TAFT AVE STE 100, LOVELAND, CO 80538-8307
(970) 663-3222
(970) 663-3227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57923264
—
CO
Enumeration date
07/30/2008
Last updated
08/11/2011
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