Provider Demographics
NPI:1245675206
Name:BUENO, ALESHA M (MS)
Entity type:Individual
Prefix:MRS
First Name:ALESHA
Middle Name:M
Last Name:BUENO
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 1:1413 E 11TH ST
Mailing Address - Street 2:
Mailing Address - City:EDDYSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:19022-1360
Mailing Address - Country:US
Mailing Address - Phone:484-748-0338
Mailing Address - Fax:
Practice Address - Street 1:1413 E 11TH ST
Practice Address - Street 2:
Practice Address - City:EDDYSTONE
Practice Address - State:PA
Practice Address - Zip Code:19022-1360
Practice Address - Country:US
Practice Address - Phone:484-748-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-05
Last Update Date:2013-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health