Individual
CASSIDY BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 846-2511
Mailing address
3301 E 12TH ST STE 259, OAKLAND, CA 94601-2940
(510) 846-2511
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103T00000X
Psychologist
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
07/29/2014
Last updated
03/21/2018
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