Ilene Naomi Rusk PH.D.

NPI 1114222320 - Psychologist - 103TR0400X

NPI Details
NPI 1114222320
Gender Female
Enumeration Date 01/19/2011
Last Updated 06/17/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
2523 BROADWAY
SUITE 200
BOULDER CO, 80304-4240, US
Phone (303) 938-9244
Fax (303) 413-1308
Business Location
2523 BROADWAY
SUITE 200
BOULDER CO, 80304-4240, US
Phone (303) 938-9244
Fax (303) 413-1308
Toxanomy
Taxonomy Code 103TR0400X
License State Colorado
License Number 7079
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According to our database, Dr. Ilene Naomi Rusk PH.D. NPI is 1114222320, taxonomy code is 103TR0400X and license number is 7079, license state is located at Colorado. Ilene Naomi Rusk PH.D. physically located at 2523 Broadway, Boulder CO, 80304-4240. NPI Number Ilene Naomi Rusk PH.D. has the Individual type.

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1114222320 NPI number is provided on an as is basis without warranty of any kind. 1114222320 is maintained by the National Plan & Provider Enumeration System. The contents of Ilene Naomi Rusk PH.D. are for informational purposes only.