Healthcare Provider Details

I. General information

NPI: 1376747840
Provider Name (Legal Business Name): LYNN BUHLER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 03/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 PARK AVE
BALTIMORE MD
21201-4800
US

IV. Provider business mailing address

857 PARK AVE
BALTIMORE MD
21201-4800
US

V. Phone/Fax

Practice location:
  • Phone: 410-539-9444
  • Fax: 801-880-1832
Mailing address:
  • Phone: 410-539-9444
  • Fax: 801-880-1832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: