Provider Demographics
NPI:1538149232
Name:BUCHS, BETTINA
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:
Last Name:BUCHS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:
Other - Last Name:BUCHS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 BURTON AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4608
Mailing Address - Country:US
Mailing Address - Phone:978-922-3328
Mailing Address - Fax:
Practice Address - Street 1:234 CABOT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-5723
Practice Address - Country:US
Practice Address - Phone:978-927-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA105500-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical