| Doctor Name: | DR. AMY BUCKLEY |
| NPI Number: | 1053478388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 1385 |
| Business Practice Address: | 211 Grandview Dr Suite 200 Ft Mitchell, KY - 410172759 |
| Business Phone Number: | 5134057340 |
| Business Fax Number: | |
| Mailing Address: | 211 Grandview Dr., Suite 200 FT. MITCHELL |
| State: | KY |
| Postal Code: | 41017 |
| Phone Number: | 5134057340 |
| Fax Number: | |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 07/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 1385 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |