Doctor Name: | DR. JAMES MITCHELL BUCCIGROSS |
NPI Number: | 1376707240 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D., DABPS |
License Number: | 4859 |
Business Practice Address: | 161 S High St Suite 100 Akron, OH - 443081602 |
Business Phone Number: | 3306433040 |
Business Fax Number: | |
Mailing Address: | 3687 Perry Dr Nw, MASSILLON |
State: | OH |
Postal Code: | 446462421 |
Phone Number: | 3308332118 |
Fax Number: | |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 4859 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |