Provider Demographics
NPI:1568833887
Name:BUSCHLE, MARY JOYCE (MS CCC SLP)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JOYCE
Last Name:BUSCHLE
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3188
Mailing Address - Country:US
Mailing Address - Phone:603-893-8550
Mailing Address - Fax:603-893-8680
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3188
Practice Address - Country:US
Practice Address - Phone:603-893-8550
Practice Address - Fax:603-893-8680
Is Sole Proprietor?:No
Enumeration Date:2015-10-13
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH0815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist