Gary L Buck in Petaluma - Clinical Child & Adolescent
Gary L Buck - NPI 1841313418
Gary L Buck is a Clinical Child & Adolescent in Petaluma, California. Gary L Buck practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Gary L Buck is 1841313418. The last update date is 2018-06-26.
Gary L Buck's current location address is 715 Brody Pl, Petaluma, California. You can contact this provider via phone number 7077899357 and fax number 7077899357. The mailing address for Gary L Buck is 715 Brody Pl, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Buck |
|---|---|
| Address | 715 Brody Pl, Petaluma, California |
| Phone Number | 7077899357 |
| Fax Number | 7077899357 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1841313418 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2018-06-26 |
Provider Mailing Address Detail
| Address | 715 Brody Pl |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949547421 |
| Phone Number | 7077899357 |
| Fax Number | 7077899357 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PSY27298 |
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Definition: A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology |
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What is the unique 10-digit identifier code assigned to Gary L Buck by the Centers for Medicare & Medicaid Services?
The Gary L Buck has been issued the NPI (National Provider Identifier) 1841313418 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary L Buck?
The Gary L Buck is physically situated at 715 Brody Pl, in the city of Petaluma, state of CA, with the postal code 949547421.
What is Gary L Buck's area of expertise and its corresponding taxonomy classification?
The Gary L Buck's field of specialization is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their areas of practice.
On what date did Gary L Buck receive its 1841313418 assignment from the Centers for Medicare & Medicaid Services?
The Gary L Buck was assigned its 1841313418 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Gary L Buck's details last updated?
The information pertaining to the Gary L Buck, including its address, specialty, and other details, was most recently updated on 2018-06-26.
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