| Buboltz & Associates, LLC | |
|
2101 Walnut Ave Ruston LA 71270-5145 | |
| (318) 512-9637 | |
| Not Available |
| Full Name | Buboltz & Associates, LLC |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2101 Walnut Ave, Ruston, Louisiana |
| Authorized Official Name and Position | Walter Buboltz (PSYCHOLOGIST) |
| Authorized Official Contact | 3185129637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buboltz & Associates, LLC 2101 Walnut Ave Ruston LA 71270-5145 Ph: (318) 512-9637 | Buboltz & Associates, LLC 2101 Walnut Ave Ruston LA 71270-5145 Ph: (318) 512-9637 |
| NPI Number | 1720469570 |
|---|---|
| Provider Enumeration Date | 06/17/2015 |
| Last Update Date | 06/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720469570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 870 (Louisiana) | Primary |
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