Provider Demographics
NPI:1902296072
Name:REILLY BUSER, MEGAN M
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:REILLY BUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:REILLY-BUSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:932 HENDERSONVILLE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1733
Mailing Address - Country:US
Mailing Address - Phone:828-339-7279
Mailing Address - Fax:888-660-5727
Practice Address - Street 1:932 HENDERSONVILLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1733
Practice Address - Country:US
Practice Address - Phone:828-339-7279
Practice Address - Fax:888-660-5727
Is Sole Proprietor?:No
Enumeration Date:2015-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0050261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical