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Organization

THE PARK AVENUE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LYNN BUHLER PH.D. (MANAGING MEMBER)
(410) 244-6633
Entity
Organization

Contact information

Practice address
857 PARK AVE, BALTIMORE, MD 21201-4800
(410) 244-6633
Mailing address
857 PARK AVE, BALTIMORE, MD 21201-4800
(410) 244-6633

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TA0400X
Addiction (Substance Use Disorder) Psychologist
103TA0700X
Adult Development & Aging Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TM1800X
Intellectual & Developmental Disabilities Psychologist
103TP2701X
Group Psychotherapy Psychologist
103TR0400X
Rehabilitation Psychologist
106H00000X
Marriage & Family Therapist

Other

Enumeration date
04/26/2007
Last updated
04/02/2015
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