Provider Demographics
NPI:1548336217
Name:BUSKEY, WENDY (PSYD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:BUSKEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4061 POWDER MILL RD STE 700
Mailing Address - Street 2:SUITE #700
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-4053
Mailing Address - Country:US
Mailing Address - Phone:301-273-2089
Mailing Address - Fax:
Practice Address - Street 1:4061 POWDER MILL RD STE 700
Practice Address - Street 2:SUITE #700
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-4053
Practice Address - Country:US
Practice Address - Phone:301-273-2089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03868103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical