Doctor Name: | DR. WILLIAM EARL BUSH |
NPI Number: | 1205891520 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ED.D. |
License Number: | PS003877-L |
Business Practice Address: | 365 Freeport St New Kensington, PA - 150686014 |
Business Phone Number: | 7243370066 |
Business Fax Number: | |
Mailing Address: | 365 Freeport St, NEW KENSINGTON |
State: | PA |
Postal Code: | 150686014 |
Phone Number: | 7243370066 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | PS003877-L |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |