Provider Demographics
NPI:1639875115
Name:BUSCH, CHELSEA ZIMMERMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:ZIMMERMAN
Last Name:BUSCH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3525 W CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2641
Mailing Address - Country:US
Mailing Address - Phone:267-738-4555
Mailing Address - Fax:
Practice Address - Street 1:3525 W CONGRESS ST
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2641
Practice Address - Country:US
Practice Address - Phone:267-738-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool