Provider Demographics
NPI:1578867701
Name:BUCHEK, LINDA A (LPC)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:BUCHEK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BUCHEK
Other - Middle Name:
Other - Last Name:COUNSELING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1227 CHIPPEWA DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3913
Mailing Address - Country:US
Mailing Address - Phone:213-223-1334
Mailing Address - Fax:
Practice Address - Street 1:1227 CHIPPEWA DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3913
Practice Address - Country:US
Practice Address - Phone:213-223-1334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62556101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional