Provider Demographics
NPI:1356389779
Name:BUSCHER, ELEANOR MARY (MS LPC)
Entity type:Individual
Prefix:
First Name:ELEANOR
Middle Name:MARY
Last Name:BUSCHER
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 ARCADIA CT
Mailing Address - Street 2:
Mailing Address - City:SLOATSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10974-2615
Mailing Address - Country:US
Mailing Address - Phone:845-753-6540
Mailing Address - Fax:
Practice Address - Street 1:933 RT 23 SO
Practice Address - Street 2:SUITE 10
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1047
Practice Address - Country:US
Practice Address - Phone:973-839-5539
Practice Address - Fax:973-839-5539
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00114700101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor