Marvin Lee Bouska in Rapid City - Clinical
Marvin Lee Bouska - NPI 1730207952
Marvin Lee Bouska is a Clinical in Rapid City, South Dakota. Marvin Lee Bouska practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marvin Lee Bouska is 1730207952. The last update date is 2013-04-25.
Marvin Lee Bouska's current location address is 1818 W Fulton St, Rapid City, South Dakota. You can contact this provider via phone number 6053486500. The mailing address for Marvin Lee Bouska is 1818 W Fulton St, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Lee Bouska |
|---|---|
| Address | 1818 W Fulton St, Rapid City, South Dakota |
| Phone Number | 6053486500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1730207952 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2013-04-25 |
Provider Mailing Address Detail
| Address | 1818 W Fulton St |
|---|---|
| City | Rapid City |
| State | South Dakota (SD) |
| Post Code | 577024377 |
| Phone Number | 6053486500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 191 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code assigned to Marvin Lee Bouska by the Centers for Medicare & Medicaid Services?
The Marvin Lee Bouska has been issued the NPI (National Provider Identifier) 1730207952 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Marvin Lee Bouska located?
The Marvin Lee Bouska is located at 1818 W Fulton St, Rapid City, SD 577024377.
What is Marvin Lee Bouska's area of expertise and its corresponding taxonomy classification?
The Marvin Lee Bouska's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1730207952 to Marvin Lee Bouska?
The Marvin Lee Bouska received its 1730207952 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.
When was the information regarding Marvin Lee Bouska most recently updated?
The details pertaining to the Marvin Lee Bouska, including its address, specialty, and other relevant information, were last refreshed on 2013-04-25.
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