Provider Demographics
NPI:1962581280
Name:BUHRMAN-KLEIER, NATASHA LYNN (LCSW; LMHP, CMSW)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:LYNN
Last Name:BUHRMAN-KLEIER
Suffix:
Gender:F
Credentials:LCSW; LMHP, CMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23097 S 212TH PL
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85242-6972
Mailing Address - Country:US
Mailing Address - Phone:402-709-4586
Mailing Address - Fax:
Practice Address - Street 1:3260 N HAYDEN RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-6650
Practice Address - Country:US
Practice Address - Phone:480-804-0326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3079101YM0800X
NE12091041C0700X
AZ122841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health