Provider Demographics
NPI:1982404786
Name:BUHR, GINA LYNN
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:LYNN
Last Name:BUHR
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3326 COUNTY ROAD 427
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IN
Mailing Address - Zip Code:46793-9532
Mailing Address - Country:US
Mailing Address - Phone:260-920-1011
Mailing Address - Fax:260-837-7767
Practice Address - Street 1:3326 COUNTY ROAD 427
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IN
Practice Address - Zip Code:46793-9532
Practice Address - Country:US
Practice Address - Phone:260-920-1011
Practice Address - Fax:260-837-7767
Is Sole Proprietor?:No
Enumeration Date:2025-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist