Provider Demographics
NPI:1336203108
Name:BUSER, SARAH E (AC-P)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:BUSER
Suffix:
Gender:F
Credentials:AC-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 COTTONWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-2043
Mailing Address - Country:US
Mailing Address - Phone:410-208-0153
Mailing Address - Fax:
Practice Address - Street 1:11827 OCEAN GTWY
Practice Address - Street 2:WACS CENTER
Practice Address - City:OCEAN CITY
Practice Address - State:MD
Practice Address - Zip Code:21842-9529
Practice Address - Country:US
Practice Address - Phone:410-213-0202
Practice Address - Fax:410-213-1408
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC-PROVISIONAL101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS013Medicare ID - Type Unspecified