Provider Demographics
NPI:1841732435
Name:BUEHLER, MARY
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8412 HILLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62223-4054
Mailing Address - Country:US
Mailing Address - Phone:618-623-8192
Mailing Address - Fax:
Practice Address - Street 1:8412 HILLVIEW DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62223-4054
Practice Address - Country:US
Practice Address - Phone:618-623-8192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist