Provider Demographics
NPI:1134279383
Name:BUSCH, KAY F (MSW)
Entity Type:Individual
Prefix:MRS
First Name:KAY
Middle Name:F
Last Name:BUSCH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 E EL FREDA RD
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2514
Mailing Address - Country:US
Mailing Address - Phone:480-838-1507
Mailing Address - Fax:480-831-6664
Practice Address - Street 1:1445 E GUADALUPE RD STE 106
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3953
Practice Address - Country:US
Practice Address - Phone:480-838-1507
Practice Address - Fax:480-831-6664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-06241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical