| Buczek & Ehrmantraut Pc | |
|
1241 Mall Dr Richmond VA 23235-4879 | |
| (804) 794-5928 | |
| (804) 379-6385 |
| Full Name | Buczek & Ehrmantraut Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1241 Mall Dr, Richmond, Virginia |
| Authorized Official Name and Position | Teresa Anne Buczek (SENIOR PARTNER) |
| Authorized Official Contact | 8047945928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buczek & Ehrmantraut Pc 1241 Mall Dr Richmond VA 23235-4879 Ph: (804) 794-5928 | Buczek & Ehrmantraut Pc 1241 Mall Dr Richmond VA 23235-4879 Ph: (804) 794-5928 |
| NPI Number | 1730354804 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 5496895914 |
|---|---|
| Medicare Enrollment ID | O20091214000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730354804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810001121 (Virginia) | Primary |
| Provider Name | Teresa A Buczek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295786390 PECOS PAC ID: 9032259551 Enrollment ID: I20091214000773 |
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