Provider Demographics
NPI:1225212509
Name:BUZZINI, TERESA DROST (PSYD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:DROST
Last Name:BUZZINI
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 1:708 BLOOM ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-1216
Mailing Address - Country:US
Mailing Address - Phone:570-275-1560
Mailing Address - Fax:
Practice Address - Street 1:301 ARCH ST
Practice Address - Street 2:SUITE A
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801-2299
Practice Address - Country:US
Practice Address - Phone:570-286-1757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-22
Last Update Date:2007-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016207103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical