Lisa M Buckloh in Jacksonville - Clinical Child & Adolescent
Lisa M Buckloh - NPI 1811003734
Lisa M Buckloh is a Clinical Child & Adolescent in Jacksonville, Florida. Lisa M Buckloh practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Lisa M Buckloh is 1811003734. The last update date is 2011-09-07.
Lisa M Buckloh's current location address is 807 Childrens Way, Jacksonville, Florida. You can contact this provider via phone number 9043903600 and fax number 9043903512. The mailing address for Lisa M Buckloh is 807 Childrens Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa M Buckloh |
|---|---|
| Address | 807 Childrens Way, Jacksonville, Florida |
| Phone Number | 9043903600 |
| Fax Number | 9043903512 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1811003734 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 807 Childrens Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078426 |
| Phone Number | 9043903600 |
| Fax Number | 9043903512 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Child & Adolescent |
|---|---|
| Taxonomy | 103Tc2200X |
| Licence No | PY6027 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000846942A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Lisa M Buckloh by the Centers for Medicare & Medicaid Services?
The Lisa M Buckloh has been assigned the NPI (National Provider Identifier) 1811003734 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lisa M Buckloh?
The Lisa M Buckloh is physically situated at 807 Childrens Way, in the city of Jacksonville, state of FL, with the postal code 322078426.
What is Lisa M Buckloh's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa M Buckloh is Clinical Child & Adolescent, and the taxonomy code that categorizes this field of expertise is 103Tc2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1811003734 to Lisa M Buckloh?
The Centers for Medicare & Medicaid Services assigned the 1811003734 to Lisa M Buckloh on 2006-08-22.
When was the information pertaining to Lisa M Buckloh most recently updated or revised?
The details related to Lisa M Buckloh, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-07.