Kenneth Edward Buckle in Stafford - Clinical
Kenneth Edward Buckle - NPI 1770612459
Kenneth Edward Buckle is a Clinical in Stafford, Texas. Kenneth Edward Buckle practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kenneth Edward Buckle is 1770612459. The last update date is 2023-03-29.
Kenneth Edward Buckle's current location address is 10707 Corporate Dr Ste 135, Stafford, Texas. You can contact this provider via phone number 8325320129. The mailing address for Kenneth Edward Buckle is 10707 Corporate Dr Ste 135, Stafford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Edward Buckle |
|---|---|
| Address | 10707 Corporate Dr Ste 135, Stafford, Texas |
| Phone Number | 8325320129 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1770612459 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2023-03-29 |
Provider Mailing Address Detail
| Address | 10707 Corporate Dr Ste 135 |
|---|---|
| City | Stafford |
| State | Texas (TX) |
| Post Code | 774774090 |
| Phone Number | 8325320129 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 36171 |
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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 |
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What is the unique 10-digit identification code assigned to Kenneth Edward Buckle by the Centers for Medicare & Medicaid Services?
The Kenneth Edward Buckle has been issued the NPI (National Provider Identifier) 1770612459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenneth Edward Buckle is located?
The Kenneth Edward Buckle is situated at the following address: 10707 Corporate Dr Ste 135, Stafford, TX, 774774090.
What is the area of specialization for Kenneth Edward Buckle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Edward Buckle is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When did Kenneth Edward Buckle receive its 1770612459 assignment?
The Kenneth Edward Buckle was assigned its 1770612459 on 2007-03-05, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Kenneth Edward Buckle most recently updated or revised?
The details related to Kenneth Edward Buckle, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-29.