| Doctor Name: | MS. ANN MARGARET BOUSKA |
| NPI Number: | 1407168891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, CCC-SLP |
| License Number: | 009552 |
| Business Practice Address: | 130 Brookley Rd Rome, NY - 134414300 |
| Business Phone Number: | 3155331150 |
| Business Fax Number: | |
| Mailing Address: | 7867 Mckern Rd, ROME |
| State: | NY |
| Postal Code: | 134406361 |
| Phone Number: | 3153349578 |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2010 |
| NPI Last Update Date: | 07/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 009552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |