Healthcare Provider Details

I. General information

NPI: 1518169549
Provider Name (Legal Business Name): BARBARA C. BUZZI M.S., PH.D., LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10406 TAFT ST
PEMBROKE PINES FL
33026-2819
US

IV. Provider business mailing address

2830 POINCIANA CIR
HOLLYWOOD FL
33026-3707
US

V. Phone/Fax

Practice location:
  • Phone: 954-258-8644
  • Fax:
Mailing address:
  • Phone: 954-258-8644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMT1106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: