Provider Demographics
NPI:1255492419
Name:BUCHSBAUM, RUBY F (MA)
Entity Type:Individual
Prefix:MRS
First Name:RUBY
Middle Name:F
Last Name:BUCHSBAUM
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4732 N ORACLE RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-1674
Mailing Address - Country:US
Mailing Address - Phone:520-293-5568
Mailing Address - Fax:520-751-2679
Practice Address - Street 1:4732 N ORACLE RD
Practice Address - Street 2:SUITE 315
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-1674
Practice Address - Country:US
Practice Address - Phone:520-293-5568
Practice Address - Fax:520-751-2679
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0052101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health