1023447851 NPI number — MARY M. BUHMAN THERAPY SERVICES PLLC

Table of content: (NPI 1023447851)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023447851 NPI number — MARY M. BUHMAN THERAPY SERVICES PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MARY M. BUHMAN THERAPY SERVICES PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023447851
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/06/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1717 N 77TH ST STE 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCOTTSDALE
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85257-2253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
712-540-3063
Provider Business Mailing Address Fax Number:
712-546-8929

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 N 77TH ST STE 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SCOTTSDALE
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85257-2253
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
712-540-3063
Provider Business Practice Location Address Fax Number:
712-546-8929
Provider Enumeration Date:
11/02/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BUHMAN
Authorized Official First Name:
MARY
Authorized Official Middle Name:
Authorized Official Title or Position:
LCSW/OWNER
Authorized Official Telephone Number:
480-570-5830

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 16805 . This is a "STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS" identifier , issued by the state of ( AZ ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com