Individual
DR. GINA BUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9400
(772) 597-9498
Mailing address
96 SW ALLAPATTAH RD, INDIANTOWN, FL 34956-4307
(772) 597-9400
(772) 597-9498
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY7552
FL
Other
Enumeration date
06/18/2008
Last updated
10/17/2010
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