Madison Benet Buckholz, MA. Ed.S. NCSP
Psychologist, School in Germantown, MD. Individual provider (NPI-1).
NPI number1659182640
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1659182640
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Madison Benet Buckholz
- Credential
- MA. Ed.S. NCSP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2025
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 1001722609 | MD | Yes |
Practice location
19401 Crystal Rock DrGermantown, MD 20874-1593
Phone 240-740-6422
Mailing address
19401 Crystal Rock DrGermantown, MD 20874-1593
Phone 240-740-6422
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