Buddington Psychology Clinic, Pc in Suwanee - Psychologist
Buddington Psychology Clinic, Pc - NPI 1366626970
Buddington Psychology Clinic, Pc is a Psychologist in Suwanee, Georgia. Buddington Psychology Clinic, Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Buddington Psychology Clinic, Pc is 1366626970. The last update date is 2007-12-19.
Buddington Psychology Clinic, Pc's current location address is 4485 Tench Rd, Suwanee, Georgia. You can contact this provider via phone number 7704939177 and fax number 7709457214. The mailing address for Buddington Psychology Clinic, Pc is 4485 Tench Rd, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Buddington Psychology Clinic, Pc |
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Address | 4485 Tench Rd, Suwanee, Georgia |
Phone Number | 7704939177 |
Fax Number | 7709457214 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Buddington W. Roger |
Credentials | PH.D. |
Telephone Number | 7704939177 |
NPI Number Detail
NPI Number | 1366626970 |
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Provider Enumeration Date | 2007-12-19 |
Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
Address | 4485 Tench Rd |
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City | Suwanee |
State | Georgia (GA) |
Post Code | 300246741 |
Phone Number | 7704939177 |
Fax Number | 7709457214 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | PSY001926 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the unique 10-digit identification code assigned to Buddington Psychology Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Buddington Psychology Clinic, Pc has been issued the NPI (National Provider Identifier) 1366626970, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Buddington Psychology Clinic, Pc?
The Buddington Psychology Clinic, Pc is physically situated at 4485 Tench Rd, in the city of Suwanee, state of GA, with the postal code 300246741.
What is the Buddington Psychology Clinic, Pc's area of specialization and corresponding taxonomy classification?
The Buddington Psychology Clinic, Pc's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.
On what date did Buddington Psychology Clinic, Pc receive its 1366626970 assignment from the Centers for Medicare & Medicaid Services?
The Buddington Psychology Clinic, Pc was assigned its 1366626970 on 2007-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Buddington Psychology Clinic, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Buddington Psychology Clinic, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-19.