| Marvin Bouska, M.s., L.l.c. | |
|
1818 W Fulton St Rapid City SD 57702-4377 | |
| (605) 348-6500 | |
| Not Available |
| Full Name | Marvin Bouska, M.s., L.l.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1818 W Fulton St, Rapid City, South Dakota |
| Authorized Official Name and Position | Marvin Bouska (PSYCHOLOGIST) |
| Authorized Official Contact | 6053486500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marvin Bouska, M.s., L.l.c. 1818 W Fulton St Rapid City SD 57702-4377 Ph: () - | Marvin Bouska, M.s., L.l.c. 1818 W Fulton St Rapid City SD 57702-4377 Ph: (605) 348-6500 |
| NPI Number | 1740624550 |
|---|---|
| Provider Enumeration Date | 04/23/2013 |
| Last Update Date | 04/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740624550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 191 (South Dakota) | Primary |
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