Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ILENE NAOMI RUSK, PH.D.
ActiveRehabilitation Psychologist · BOULDER, CO
Registration Details
- NPI Number
- 1114222320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 19, 2011 (15.252822464141 yrs)
- Last Updated
- Jun 17, 2015
- License
-
7079 (CO)
Practice Information
- Address
-
2523 BROADWAYSUITE 200BOULDER, CO, 803044240Browse CO providers · Browse ZIP 80304
- Phone
- 3039389244
- Fax
- 3034131308
- Primary Specialty
-
Rehabilitation Psychologist
103TR0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.