Healthcare Provider Details

I. General information

NPI: 1659692101
Provider Name (Legal Business Name): RUTH K BUECHSEL STRACKANY PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RUTH K BUECHSEL PSY.D.

II. Dates (important events)

Enumeration Date: 06/18/2010
Last Update Date: 07/28/2023
Certification Date: 07/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 WESTGATE DR STE 704
DURHAM NC
27707-2540
US

IV. Provider business mailing address

325 WALDO ST
CARY NC
27511-3537
US

V. Phone/Fax

Practice location:
  • Phone: 919-205-0502
  • Fax:
Mailing address:
  • Phone: 512-650-5812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number34828
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6327
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: