Individual
DR. LORNA YVETTE BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
640 KREAG RD STE 202, PITTSFORD, NY 14534-3737
(585) 204-7968
Mailing address
640 KREAG RD STE 202, PITTSFORD, NY 14534-3737
(585) 204-7968
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
023952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023952
NEW YORK EDUCATION DEPARTMENT PSYCHOLOGIST LICENSE NUMBER
NY
Enumeration date
07/22/2011
Last updated
06/28/2021
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