IndividualActive
Martin Bukovsky
NPI 1467124339 · School Psychologist · Yachats, OR
Provider details
- NPI number
- 1467124339
- Entity type
- Individual
- Primary specialty
- School PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 190058892 (CA)
Mailing address
Po Box 373
Yachats, OR 97498-0373
Registry dates
- Enumerated
- 2021-09-29
- Last updated
- 2021-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.