Patricia Diane Buckner in Chattonooga - Clinical
Patricia Diane Buckner - NPI 1215034764
Patricia Diane Buckner is a Clinical in Chattonooga, Tennessee. Patricia Diane Buckner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patricia Diane Buckner is 1215034764. The last update date is 2008-02-09.
Patricia Diane Buckner's current location address is 6110 Shallowford Rd, Chattonooga, Tennessee. You can contact this provider via phone number 8006326074 and fax number 8663417509. The mailing address for Patricia Diane Buckner is 6110 Shallowford Rd, Chattonooga, Tennessee. To know further, please read the information below!
Provider Profile Detail
Provider Name | Patricia Diane Buckner |
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Address | 6110 Shallowford Rd, Chattonooga, Tennessee |
Phone Number | 8006326074 |
Fax Number | 8663417509 |
Sole Proprietor | N |
Credentials | EDD |
NPI Number Detail
NPI Number | 1215034764 |
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Provider Enumeration Date | 2006-09-19 |
Last Updated Date | 2008-02-09 |
Provider Mailing Address Detail
Address | 6110 Shallowford Rd |
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City | Chattonooga |
State | Tennessee (TN) |
Post Code | 37421 |
Phone Number | 8006326074 |
Fax Number | 8663417509 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | P0000001865 |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3686238 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Patricia Diane Buckner by the Centers for Medicare & Medicaid Services?
The Patricia Diane Buckner has been issued the NPI (National Provider Identifier) 1215034764, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Patricia Diane Buckner's facilities are geographically located?
The facilities of Patricia Diane Buckner are physically situated at the following location: 6110 Shallowford Rd, Chattonooga, TN, 37421.
What is Patricia Diane Buckner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Patricia Diane Buckner's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1215034764 assigned to Patricia Diane Buckner?
The Patricia Diane Buckner was issued its 1215034764 on 2006-09-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Patricia Diane Buckner's details last updated?
The information pertaining to the Patricia Diane Buckner, including its address, specialty, and other details, was most recently updated on 2008-02-09.