| Doctor Name: | SUSAN MARIE BUECHELE |
| NPI Number: | 1639464704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW |
| License Number: | X-07376 |
| Business Practice Address: | 717 W Abrahames Rd Suite D Moriarty, NM - 870358197 |
| Business Phone Number: | 5054637923 |
| Business Fax Number: | 5053840222 |
| Mailing Address: | 717 W Abrahames Rd, Suite D MORIARTY |
| State: | NM |
| Postal Code: | 870358197 |
| Phone Number: | 5054637923 |
| Fax Number: | 5053840222 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | X-07376 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |