| Organization Name: | MARLENE BRUSKO PSY.D. |
| NPI Number: | 1083899512 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARLENE BRUSKO (OWNER) |
| Mailing Address: | 228 E Northwest Hwy Palatine |
| State: | IL US |
| Postal Code: | 600678107 |
| Phone Number: | 8479851678 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2008 |
| NPI Last Update Date: | 01/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 71003717 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |