MS. LOIS ILENE BURSUK (NPI# 1942386586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942386586 |
| Entity Type | Individual |
| Full Name | MS. LOIS ILENE BURSUK |
| Credential | PH.D. |
| Practice Address |
1450 W Prince Rd Tucson AZ 85705-3014 |
| Practice Telephone | 5206968840 |
| Mailing Telephone | 5206968840 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 567406 | 05 |
| Street Address |
1450 W PRINCE RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85705-3014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750487450 | Flowing Wells Unified School District | Local Education Agency (LEA) | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2006-09-16 |
| 1346853256 | Sonia Q Garner | Occupational Therapy Assistant | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2020-08-28 |
| 1881131043 | Daniel Finger | Speech-Language Pathologist | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2017-01-26 |
| 1013359348 | Jane Anderson | Specialist/Technologist | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2013-07-29 |
| 1477784197 | Terri Boitano | Behavioral Analyst | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2009-07-29 |
| 1780870451 | Sara J Jones | Speech-Language Pathologist | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2007-09-17 |
| 1346382397 | Lacey Marie Blair | Speech-Language Pathologist | 1450 W Prince Rd, Pupil Service Center, Tucson, AZ 85705-3014 | 2007-02-13 |
| 1417030313 | Jan M Nelson | Physical Therapist | 1450 W Prince Rd, Pupil Services, Tucson, AZ 85705-3014 | 2006-10-23 |
| 1811079395 | Sandra Nan Krieski | Speech-Language Pathologist | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2006-10-20 |
| 1467534099 | Deborah Elena Kring | Occupational Therapist | 1450 W Prince Rd, Tucson, AZ 85705-3014 | 2006-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257347 | John Matthew Gill, Od and Associates | Optometrist | 4500 N. Oracle Road, Suite 423, Tucson, AZ 85705 | 2020-02-17 |
| 1831730795 | El Rio Santa Cruz Neighborhood Health Center, Inc | Clinic/Center | 434 E University Blvd, Tucson, AZ 85705 | 2019-10-02 |
| 1730681685 | Casa De Los Ninos, Inc. | Community/Behavioral Health | 1120 N 5th Avenue, Tucson, AZ 85705 | 2018-03-07 |
| 1699275693 | Tzimari Sotelo | Nurse Practitioner | 941 N 11th Ave, Tucson, AZ 85705 | 2018-02-15 |
| 1679956502 | Dean Doan | Dentist | 2012 North Country Club Road, Suite E, Tucson, AZ 85705 | 2015-07-09 |
| 1437572955 | Home Is Where The Heart Is Senior Care | Home Health | 4541 N Old Romero Rd, #35, Tuscon, AZ 85705 | 2014-02-04 |
| 1932457553 | Pamela A Williamson | Registered Nurse | 698 E Wetmore Rd Ste 100, Tucson, AZ 85705 | 2012-08-29 |
| 1104136571 | Charles Tyler Upton | Counselor | 721 N. Fourth Ave, Tucson, AZ 85705 | 2010-10-19 |
| 1851629844 | Francisco Antonio Sanchez | Psychologist | 504 E. Speedway Blvd, Tucson, AZ 85705 | 2009-12-02 |
| 1235466145 | Maria Guadalupe Millan | Contractor | 870 W. Miracle Mile, La Paloma Family Services, Tucson, AZ 85705 | 2009-11-13 |
| Find all providers in zip 85705 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922589126 | Lisa M Browne | Psychologist | 3584 E Fox Trotter Rd, Tucson, AZ 85739-8334 | 2018-08-24 |
| 1336637321 | Rebecca Simonson | Psychologist | 6200 E San Bernardino, Tucson, AZ 85715-3037 | 2018-04-25 |
| 1417336900 | Allison Betsch | Psychologist | 3282 S Treasure Cove Pl, Tucson, AZ 85713-6855 | 2015-05-29 |
| 1528291374 | Deborah Davis | Psychologist | 7655 N Massingale Ct, Tucson, AZ 85741-1951 | 2009-08-27 |
| 1063644490 | Katherine Drake | Psychologist | 5400 E Williams Blvd, Apt. 15107, Tucson, AZ 85711-4411 | 2009-08-18 |
| 1932345337 | Catherine Saundra Jackanic | Psychologist | 8225 E Speedway Blvd, Apt 805, Tucson, AZ 85710-1740 | 2009-01-06 |
| 1558511386 | Wanda Jane Mullins | Psychologist | 4466 E Mossy Brook Pl, Tucson, AZ 85712-1158 | 2008-09-29 |
| 1831347228 | Sandra Bryant Lindemann | Psychologist | 461 S Bryant Ave, Tucson, AZ 85711-4775 | 2008-08-28 |
| 1215184189 | Michael Dahl | Psychologist | 1725 E Bilby Rd, Tucson, AZ 85706-4430 | 2008-08-22 |
| 1356598411 | Patricia Tanner Halverson | Psychologist | 8001 E Stella Rd, Tucson, AZ 85730-1920 | 2008-08-20 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.