Cheryl Rose Buechner, PHD., LP
Individual provider Active NPI Clinical Psychologist · Amery, WI
NPI 1669520151 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1669520151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1864 (WI)
- Practice address
- 265 Griffin St E
Amery, WI 54001-1439 - Phone
- (715) 268-8000
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4211 | MN | MD | Clinical Psychologist |
| 1864 | WI | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4211 | MN | |
| Clinical Psychologist | 103TC0700X | 1864 | WI | Yes |
Addresses
Primary practice location
265 Griffin St E
Amery, WI 54001-1439
Mailing address
8170 33Rd Ave S
Ms: 21110Q
Bloomington, MN 55425-4516
Phone (952) 883-5129
Other providers in Amery, WI
- Matthew Bogan
- Jessica L Bradford
- Brenda Gail Brandt
- Theresa Briggs
- Sunshine J Broeren
- Julie B. Burbach
- Erica L Burger
- Jonathan S. Burns
- Danielle R Busse-Quenan
- Tami Jo Buus
All providers in Amery, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.