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NPI Code Detail

MEDICARE: MS. THERESA A. BUZEK LPC-S

MEDICARE:  MS. THERESA A. BUZEK  LPC-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor18020TX

General Provider Information

NPI Number : 1841539426
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. THERESA A. BUZEK LPC-S
Provider Business Mailing Address
First Line : 9364 BERNOULLI DR
Second Line :
City : AUSTIN
State : TX
Zip : 78748-5040
Country : US
Telephone Number : 512-468-9959
Fax Number : 512-292-9388
Provider Business Practice Location Address
First Line : 4009 BANISTER LN
Second Line : STE 356
City : AUSTIN
State : TX
Zip : 78704-7040
Country : US
Telephone Number : 512-468-9959
Fax Number : 512-292-9388
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2013
Last Update Date : 02/02/2013

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Directions to “ MS. THERESA A. BUZEK LPC-S” Practice Location

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