Provider Demographics
NPI:1578879896
Name:BUCHHAMMER, JANET L (MED, EDS)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:BUCHHAMMER
Suffix:
Gender:F
Credentials:MED, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 E 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4617
Mailing Address - Country:US
Mailing Address - Phone:307-637-7906
Mailing Address - Fax:307-635-3965
Practice Address - Street 1:387 MADDIES WAY
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-2288
Practice Address - Country:US
Practice Address - Phone:307-761-0134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPC-1278101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional