=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952652588
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANN MARGARET BUSCHER L.P.C., M.A.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/21/2012
-----------------------------------------------------
Last Update Date | 09/21/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 933 STATE RT 23
-----------------------------------------------------
City | POMPTON PLAINS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07444-1047
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-865-5673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 209 COMLY RD APT F14
-----------------------------------------------------
City | LINCOLN PARK
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07035-1126
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-865-5673
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 37PC00461100
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------