Doctor Name: | LINDSEY BUSSEY |
NPI Number: | 1205241205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 71546 |
Business Practice Address: | 806 Blue Hills Dr Dripping Springs, TX - 786203910 |
Business Phone Number: | 5125716074 |
Business Fax Number: | 5122921144 |
Mailing Address: | Po Box 152680, AUSTIN |
State: | TX |
Postal Code: | 787152680 |
Phone Number: | 5125716074 |
Fax Number: | 5122921144 |
NPI Enumeration Date: | 06/27/2014 |
NPI Last Update Date: | 06/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 71546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |