Healthcare Provider Details

I. General information

NPI: 1780920439
Provider Name (Legal Business Name): ERICA L. BUHLER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERICA RABIDEAU

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 09/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 NORTHAMPTON RD
AMSTERDAM NY
12010
US

IV. Provider business mailing address

34 SOUTH ST
BALLSTON SPA NY
12020-1050
US

V. Phone/Fax

Practice location:
  • Phone: 518-843-7522
  • Fax:
Mailing address:
  • Phone: 518-843-7522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number087594-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: