Provider Demographics
NPI:1679768345
Name:BRUSCHI-SKOP, ANNA MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:BRUSCHI-SKOP
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:255 DELAWARE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-2016
Mailing Address - Country:US
Mailing Address - Phone:716-842-0440
Mailing Address - Fax:716-842-4069
Practice Address - Street 1:951 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14213-2116
Practice Address - Country:US
Practice Address - Phone:716-884-0700
Practice Address - Fax:716-884-0631
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY004696101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY004696OtherNY STATE OFFICE OF THE PROFESSIONS