Provider Demographics
NPI:1598475113
Name:BUHLER, MOLLY (MS)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:BUHLER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2706 GANNON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2642
Mailing Address - Country:US
Mailing Address - Phone:612-441-5515
Mailing Address - Fax:
Practice Address - Street 1:2706 GANNON RD
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55116-2642
Practice Address - Country:US
Practice Address - Phone:612-441-5515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional