Individual
DR. LISA MARY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2272 W 95TH ST, UNIT 305, NAPERVILLE, IL 60564-8912
(630) 753-9800
(630) 753-9798
Mailing address
2272 W 95TH ST, UNIT 305, NAPERVILLE, IL 60564-8912
(630) 753-9800
(630) 753-9798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071005399
IL
103TP0016X
Prescribing (Medical) Psychologist
Primary
074.000017
IL
Other
Enumeration date
09/17/2007
Last updated
06/28/2023
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