Provider Demographics
NPI:1659692416
Name:BUONO, NEIL FREDERICK (LCMFT)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:FREDERICK
Last Name:BUONO
Suffix:
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 SW WANAMAKER RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4566
Mailing Address - Country:US
Mailing Address - Phone:785-271-0808
Mailing Address - Fax:785-271-5324
Practice Address - Street 1:3625 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4566
Practice Address - Country:US
Practice Address - Phone:785-271-0808
Practice Address - Fax:785-271-5324
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT 738106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist