Provider Demographics
NPI:1215145982
Name:BUCHER, LARRY LEE (LCSWC)
Entity type:Individual
Prefix:MR
First Name:LARRY
Middle Name:LEE
Last Name:BUCHER
Suffix:
Gender:M
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 NORTH CHAPEL GATE LANE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21229-2417
Mailing Address - Country:US
Mailing Address - Phone:410-646-0976
Mailing Address - Fax:
Practice Address - Street 1:311 NORTH CHAPEL GATE LANE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-2417
Practice Address - Country:US
Practice Address - Phone:443-839-6098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD054391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical