Individual
MRS. KATHRYN AMANDA BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
20 MONTAUK HWY, BLUE POINT, NY 11715-1139
(631) 258-5587
(631) 363-0027
Mailing address
24 PAMELA LN, SELDEN, NY 11784-3155
(631) 946-6818
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001044
NY
Other
Enumeration date
11/10/2013
Last updated
03/01/2014
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