Healthcare Provider Details

I. General information

NPI: 1528746807
Provider Name (Legal Business Name): MEGAN BUHMANN MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2023
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 GEORGE WASHINGTON MEM HWY STE C
YORKTOWN VA
23692-2619
US

IV. Provider business mailing address

111 REPUBLIC RD APT C
NEWPORT NEWS VA
23603-1449
US

V. Phone/Fax

Practice location:
  • Phone: 757-679-9023
  • Fax:
Mailing address:
  • Phone: 757-679-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number14157
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: