Individual
ASYA B BUSSIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 LORD BALTIMORE DR STE A, WINDSOR MILL, MD 21244-2639
(443) 629-0696
Mailing address
3202 BLENHEIM RD, PHOENIX, MD 21131-2228
(443) 629-0696
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MD
Other
Enumeration date
05/22/2018
Last updated
08/07/2019
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