Healthcare Provider Details

I. General information

NPI: 1003705823
Provider Name (Legal Business Name): TREVOR JAMES BUSER PHD, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 06/30/2025
Certification Date: 06/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 RIVERWOODS DR
NEW HOPE PA
18938-2245
US

IV. Provider business mailing address

PO BOX 451
NEW HOPE PA
18938-0451
US

V. Phone/Fax

Practice location:
  • Phone: 862-596-9145
  • Fax:
Mailing address:
  • Phone: 862-596-9145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC006749
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: