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ELIZABETH BUCK

Clinical Child & Adolescent >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1811005465

Individual Registrant:
 ELIZABETH  BUCK 
Gender: F
Sole Proprietor

Location and contact information for practice:
350 BERKELEY PARK BLVD STE 3 KENSINGTON, CA 94707 US
Tel: 415-206-5290  Fax: --

Contact information for business:
200 24TH ST  RICHMOND, CA 94804-1804 US
Tel: 510-412-9200  Fax: --

Registration Information:
NPI: 1811005465
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N103TC2200XBehavioral Health & Social Service Providers
Psychologist
Clinical Child & Adolescent
CAPSY19584
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
CAPSY19584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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