Doctor Name: | DR. JAMES W BUECHELE |
NPI Number: | 1184763229 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | 30447 |
Business Practice Address: | 2164 Paris Cv Hernando, MS - 386321609 |
Business Phone Number: | 9012193075 |
Business Fax Number: | 9015271326 |
Mailing Address: | 2164 Paris Cv, HERNANDO |
State: | MS |
Postal Code: | 386321609 |
Phone Number: | 9012193075 |
Fax Number: | 9015271326 |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 30447 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |