Doctor Name: | DR. DENISE LEE BUCHANAN |
NPI Number: | 1093709263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | CP16447 |
Business Practice Address: | 138 B Ave Coronado, CA - 921181511 |
Business Phone Number: | 6194376209 |
Business Fax Number: | 8585059374 |
Mailing Address: | 138 B Ave, CORONADO |
State: | CA |
Postal Code: | 921181511 |
Phone Number: | 6194376209 |
Fax Number: | 8585059374 |
NPI Enumeration Date: | 09/02/2005 |
NPI Last Update Date: | 04/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | CP16447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |