MEDICARE: DR. WENDY BUSKEY PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	03868	MD

General Provider Information

NPI Number	:	1548336217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY BUSKEY PSYD

Provider Business Mailing Address
First Line	:	4061 POWDER MILL RD STE 700
Second Line	:	SUITE #700
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4053
Country	:	US
Telephone Number	:	301-273-2089
Fax Number	:

Provider Business Practice Location Address
First Line	:	4061 POWDER MILL RD STE 700
Second Line	:	SUITE #700
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-4053
Country	:	US
Telephone Number	:	301-273-2089
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/27/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. WENDY BUSKEY PSYD” Practice Location

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