Most Relevant Information
Provider Data
| NPI Number: | 1003513375 |
| Provider Name: | MARY BUZZETTA PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 67230 |
Most Important Dates
| Enumeration Date: | 02/07/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
5788 ECKHERT RD
SAN ANTONIO
TX
782403900
Practice Location Phone/Fax
| Phone: | 2104507222 |
| Fax: |
Provider Mailing Location
5788 ECKHERT RD
SAN ANTONIO
TX
782403900
Provider Mailing Phone/Fax
| Phone: | 2104507222 |
| Fax: |