Female

Elizabeth Buckner PH.D.

Psychologist in Wellesley, MA(View on Map)

Full Name

Elizabeth Buckner PH.D.

NPI Number

1316036437

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/12/2006

Specialties

(Taxonomies)

Code

103T00000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

6888

Contact
Information

Purpose

Mailing
Location

Address

372 WASHINGTON ST
372 WASHINGTON ST

City

Wellesley
Wellesley

State

MA
MA

Postal Code

02481-6202
02481-6202

Country

US
US

Telephone Number

(781) 239-3550
(781) 239-3550

Identifiers

Identifier

W05625
792461

Identifier State

MA
MA

Identifier Issuer

BCBSMA
TUFTS HEALTH PLAN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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