Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP2500X | Professional Counselor | 37PC00358900 | NJ |
N | 102L00000X | Psychologist | 5911 | NJ |
N | 103T00000X | Psychologist | 5911 | NJ |
Y | 103G00000X | Clinical Psychologist | 35SI00591100 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35SI00591100 | NJ |
N | 103TC1900X | Counseling Psychologist | 5911 | NJ |
N | 103TC1900X | Counseling Psychologist | 9511 | NJ |
NPI | 1003216086 |
---|---|
Provider Name | Dr. Debora Buzinkai |
First Address | Bayonne, NJ 07002-1329 |
Second Address | Bayonne, NJ 07002-2020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2014 |
Last Update Date | 27/04/2021 |