Buddington Psychology Clinic, Pc in Suwanee - Clinical
Buddington Psychology Clinic, Pc - NPI 1366626970
Buddington Psychology Clinic, Pc is a Clinical in Suwanee, Georgia. Buddington Psychology Clinic, Pc practices all healthcare services and medical treatments related to Clinical. 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 |
|---|---|
| Address | 4485 Tench Rd, Suwanee, Georgia |
| Phone Number | 7704939177 |
| Fax Number | 7709457214 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Buddington W. Roger |
| Credentials | PH.D. |
| Telephone Number | 7704939177 |
NPI Number Detail
| NPI Number | 1366626970 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2007-12-19 |
Provider Mailing Address Detail
| Address | 4485 Tench Rd |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300246741 |
| Phone Number | 7704939177 |
| Fax Number | 7709457214 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW003357 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
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 Clinical, and it falls under the taxonomy code 1041C0700X, 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.