Doctor Name: | ROBERT A BUCCIERE |
NPI Number: | 1306813498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 4959640-3501 |
Business Practice Address: | 510 Hamlet Ave Carolina Beach, NC - 284285015 |
Business Phone Number: | 8019232075 |
Business Fax Number: | |
Mailing Address: | 510 Hamlet Ave, CAROLINA BEACH |
State: | NC |
Postal Code: | 284285015 |
Phone Number: | 8019232075 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2006 |
NPI Last Update Date: | 06/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4959640-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |