Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE LARSON BURCUSA, PHD
Active Sole ProprietorSTEPHANIE LARSON BURCUSA, PHD is a Clinical Psychologist healthcare provider located in GREAT FALLS, Montana. NPI 1235322421 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · GREAT FALLS, MT
Registration Details
- NPI Number
- 1235322421
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 22, 2007 (18.935067059016 yrs)
- Last Updated
- Apr 5, 2024
- License
-
2210 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 15TH AVE S STE 205GREAT FALLS, MT, 594054375Browse MT providers · Browse ZIP 59405
- Phone
- 4067318888
- Fax
- 4067318876
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in GREAT FALLS, MT
| Name | Credential | NPI |
|---|---|---|
| THOMAS J KRAJACICH | PHD | 1518968486 |
| RENNAE I JOHNSON | PH D | 1841291705 |
| DR. BETSY RUSHWORTH | PHD | 1508849910 |
| DR. MARLENE JEANETTE MOWERY | PSYD | 1841219060 |
| KENDAL CHRIS SOUTHALL | PH.D. | 1548281769 |
| MICHAEL LEE MASON | PHD | 1740202068 |
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.