Doctor Name: | DR. DANIELLE F BUCKMAN |
NPI Number: | 1447351739 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | EDD |
License Number: | LMHC392 |
Business Practice Address: | 17 Tarleton Road Newton Center, MA - 02459 |
Business Phone Number: | 6179653506 |
Business Fax Number: | 6177349593 |
Mailing Address: | 17 Tarleton Road, NEWTON CENTER |
State: | MA |
Postal Code: | 02459 |
Phone Number: | 6179653506 |
Fax Number: | 6177349593 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LMHC392 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |