Provider Demographics
NPI:1871469205
Name:BUCHLMAYER, RAMONA
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:
Last Name:BUCHLMAYER
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:N33W29231 MILLRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PEWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53072-3264
Mailing Address - Country:US
Mailing Address - Phone:949-283-2704
Mailing Address - Fax:
Practice Address - Street 1:N33W29231 MILLRIDGE RD
Practice Address - Street 2:
Practice Address - City:PEWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53072-3264
Practice Address - Country:US
Practice Address - Phone:949-283-2704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI11946-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional