Doctor Name: | DANA BUSKIRK BLAUCH |
NPI Number: | 1275981664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 0701006596 |
Business Practice Address: | 8297 Harpine Hwy Linville, VA - 228342214 |
Business Phone Number: | 5408103888 |
Business Fax Number: | |
Mailing Address: | 8297 Harpine Hwy, LINVILLE |
State: | VA |
Postal Code: | 228342214 |
Phone Number: | 5408103888 |
Fax Number: | |
NPI Enumeration Date: | 05/26/2016 |
NPI Last Update Date: | 05/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701006596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |