Doctor Name: | ARIEL BUCKNER |
NPI Number: | 1053733667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C-5366 |
Business Practice Address: | 6400 Uptown Blvd Ne Ste 360 W Albuquerque, NM - 871104204 |
Business Phone Number: | 5058559805 |
Business Fax Number: | 5058489468 |
Mailing Address: | 6400 Uptown Blvd Ne, Ste 360 W ALBUQUERQUE |
State: | NM |
Postal Code: | 871104204 |
Phone Number: | 5058559805 |
Fax Number: | 5058489468 |
NPI Enumeration Date: | 01/16/2014 |
NPI Last Update Date: | 01/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | C-5366 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |