Bush, Mary T.

Bush, Mary T. is an sole proprietor health care provider with primary practice located at 6630 N 47Th Ave Ste 6, Glendale AZ 85301-4172. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Nursing Service Providers / Psychiatric/Mental Health, Adult. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Bush, Mary T. can be contacted via phone (602) 957-2710.

Contact Information

Primary practice address
6630 N 47Th Ave Ste 6 Glendale AZ 85301-4172
Phone: (602) 957-2710
Fax: (623) 934-5895
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1909 Arizona
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X AP2219 Arizona

Profile Details

NPI number 1912991852
LBN Legal business name Bush, Mary T.
Credentials PH.D., PSY.N.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Jan 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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