Provider Demographics
NPI:1831371921
Name:BUZAN, MARGARET SUZANNE (LCSW, DCSW)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:SUZANNE
Last Name:BUZAN
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 BUTLER CREEK CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5617
Mailing Address - Country:US
Mailing Address - Phone:407-702-4718
Mailing Address - Fax:407-366-7153
Practice Address - Street 1:1001 BUTLER CREEK CT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-5617
Practice Address - Country:US
Practice Address - Phone:407-702-4718
Practice Address - Fax:407-366-7153
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLCSW 3533101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL79799575OtherUNITED BEHAVIORAL HEALTH
FL120629OtherVALUE OPTIONS