Individual
DR. LEWISE L. BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
530 7TH ST SE, WASHINGTON, DC 20003-2768
(202) 543-4645
(202) 543-4476
Mailing address
4125 36TH ST S, ARLINGTON, VA 22206-1805
(202) 543-4645
(202) 543-4476
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810002292
VA
103TC0700X
Clinical Psychologist
Primary
PSY1527
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0810002292
CLINICAL PSYCHOLOGY LICEN
VA
01
—
PSR1527
PSYCHOLOGY LICENSE
DC
Enumeration date
08/29/2005
Last updated
07/08/2007
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