Martin Edward-John Bukovsky

NPI #1467124339 in Yachats, Oregon

Provider Information

NPI Number: 1467124339
Entity Type: Individual
Name: Martin Edward-John Bukovsky
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Sep 29, 2021
Last Updated: Sep 29, 2021

Practice Location

Address: 155 NE WAX MYRTLE LOOP
City: Yachats
State: Oregon
ZIP Code: 97498-9427
Phone: (541) 351-5737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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