Healthcare Provider Details

I. General information

NPI: 1891767422
Provider Name (Legal Business Name): M.A. JANE BUHL MFT, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 E KING ST
MALVERN PA
19355-3004
US

IV. Provider business mailing address

6 HOLLOW ROAD POB 234
BIRCHRUNVILLE PA
19421-0234
US

V. Phone/Fax

Practice location:
  • Phone: 610-495-8853
  • Fax:
Mailing address:
  • Phone: 610-495-8853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPS007938-L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPS 007938-L
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPS 007938-L
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS 007938-L
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: