Individual
ERIKA C BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
127 WEST STATE ST. FIRST FLOOR, FAMILY & CHILDREN'S SERVICE OF ITHACA, ITHACA, NY 14850-5427
(607) 273-7494
(607) 273-7484
Mailing address
127 WEST STATE ST. FIRST FLOOR, FAMILY & CHILDREN'S SERVICE OF ITHACA, ITHACA, NY 14850-5427
(607) 273-7494
(607) 273-7484
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018939
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124176680
AGENCY NPI #
—
05
—
843476
—
NY
Enumeration date
09/05/2007
Last updated
01/11/2012
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