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DR. THERESA MARIE BUYSSE PH.D.

Behavioral Health & Social Service Providers Psychologist

Provider NPI: 1720423650

Provider Information:
DR. THERESA MARIE BUYSSE PH.D.
Gender: F
Sole Proprietor

Practice Location:
3931 COLBY AVE  EVERETT, WA 98201-4926 US
Tel: 425-249-9618  Fax: --

Business Mailing Address:
20111 83RD AVE W  EDMONDS, WA 98026-6727 US
Tel: 425-775-4059  Fax: --

NPI Information:
NPI: 1720423650
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
WAPY00003706
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
WAPY00003706

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 103T00000X

Type:

Classification:



Definition:



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