Individual
MAREN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1123 BROADWAY STE 1115, NEW YORK, NY 10010-2007
(612) 961-3132
Mailing address
400 W 43RD ST APT 37Q, NEW YORK, NY 10036-6360
(612) 961-3132
Taxonomy
Speciality
Code
Description
License number
State
102L00000X
Psychoanalyst
Primary
001161
NY
Other
Enumeration date
10/25/2017
Last updated
12/27/2022
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