Healthcare Provider Details

I. General information

NPI: 1982046389
Provider Name (Legal Business Name): MELISSA A BUHLER MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1633 PHILIPSBURG BIGLER HWY
PHILIPSBURG PA
16866-8112
US

IV. Provider business mailing address

847 SHELVEY SUMMIT RD
KERSEY PA
15846-1839
US

V. Phone/Fax

Practice location:
  • Phone: 814-342-5678
  • Fax:
Mailing address:
  • Phone: 814-773-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW130438
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: